Subpial Schwannoma of the Cervical Spinal Cord: A Case Report and Its Intraoperative Finding Supporting a Theory of the Pathogenesis of an Intramedullary Schwannoma

Payothorn Decharin; Siravich Suvithayasiri; Padungcharn Nivatpumin; Warayos Trathitephun

doi:10.1055/s-0042-1748785

Asian Journal of Neurosurgery, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Asian J Neurosurg 2022; 17(01): 108-111
DOI: 10.1055/s-0042-1748785

Case Report

Subpial Schwannoma of the Cervical Spinal Cord: A Case Report and Its Intraoperative Finding Supporting a Theory of the Pathogenesis of an Intramedullary Schwannoma

Payothorn Decharin

¹Department of Neurosurgery, Chulabhorn Hospital, Chulabhorn Royal Academy, Bangkok, Thailand

,

Siravich Suvithayasiri

²Department of Orthopedic Surgery, Spinal Surgery Unit, Chulabhorn Hospital, Chulabhorn Royal Academy, Bangkok, Thailand

,

Padungcharn Nivatpumin

¹Department of Neurosurgery, Chulabhorn Hospital, Chulabhorn Royal Academy, Bangkok, Thailand

,

Warayos Trathitephun

²Department of Orthopedic Surgery, Spinal Surgery Unit, Chulabhorn Hospital, Chulabhorn Royal Academy, Bangkok, Thailand

› Institutsangaben

Abstract

Because of its tumor origin from nerve sheath cells (the Schwann cells), the pathogenesis of an extraordinary rare intramedullary schwannoma, which should not have any Schwann's cells in nature, is controversial and still in debate. We report a case of a 63-year-old man diagnosed with a cervical cord intramedullary schwannoma with an interesting intraoperative finding that could support one of the theories on its genesis.

Keywords

subpial schwannoma - intramedullary schwannoma - pathogenesis - cervical cord tumor

Volltext

Referenzen

References
1 Ottenhausen M, Ntoulias G, Bodhinayake I. et al. Intradural spinal tumors in adults-update on management and outcome. Neurosurg Rev 2019; 42 (02) 371-388
2 Ross DA, Edwards MS, Wilson CB. Intramedullary neurilemomas of the spinal cord: report of two cases and review of the literature. Neurosurgery 1986; 19 (03) 458-464
3 Lee DY, Chung CK, Kim HJ. Thoracic intramedullary schwannoma. J Spinal Disord 1999; 12 (02) 174-176
4 Riffaud L, Morandi X, Massengo S, Carsin-Nicol B, Heresbach N, Guegan Y. MRI of intramedullary spinal schwannomas: case report and review of the literature. Neuroradiology 2000; 42 (04) 275-279
5 Kodama Y, Terae S, Hida K, Chu BC, Kaneko K, Miyasaka K. Intramedullary schwannoma of the spinal cord: report of two cases. Neuroradiology 2001; 43 (07) 567-571
6 Gagnier JJ, Kienle G, Altman DG, Moher D, Sox H, Riley D. CARE Group. The CARE guidelines: consensus-based clinical case report guideline development. J Clin Epidemiol 2014; 67 (01) 46-51
7 Del Rio-Hortega P, Penfield W. Cytology & Cellular Pathology of the Nervous System. New York, NY: Hoeber Inc.; 1932
8 Swiatek VM, Stein KP, Cukaz HB. et al. Spinal intramedullary schwannomas-report of a case and extensive review of the literature. Neurosurg Rev 2021; 44 (04) 1833-1852
9 Ozawa N, Tashiro T, Okamura T, Koyama K, Ohata K, Inoue Y. Subpial schwannoma of the cervical spinal cord mimicking an intramedullary tumor. Radiat Med 2006; 24 (10) 690-694
10 Houkin K, Abe H, Iwasaki Y, Tsuru M, Miyasaka K. Spinal sub-pial schwannoma. Case report [in Japanese]. Neurol Med Chir (Tokyo) 1983; 23 (05) 370-374
11 Kim SD, Nakagawa H, Mizuno J, Inoue T. Thoracic subpial intramedullary schwannoma involving a ventral nerve root: a case report and review of the literature. Surg Neurol 2005; 63 (04) 389-393 , discussion 393
12 Suematsu Y, Tsuji O, Nagoshi N. et al. Concurrent dorsal subpial schwannoma and ventral meningioma arising at the same upper cervical level: a case report. Spinal Cord Ser Cases 2020; 6 (01) 64
13 Mason TH, Keigher HA. Intramedullary spinal neurilemmoma: case report. J Neurosurg 1968; 29 (04) 414-416
14 Rout D, Pillai SM, Radhakrishnan VV. Cervical intramedullary schwannoma. Case report. J Neurosurg 1983; 58 (06) 962-964
15 Scott M, Bentz R. Intramedullary neurilemmoma (neurinoma) of the thoracic cord. A case report. J Neuropathol Exp Neurol 1962; 21: 194-200
16 Herrmann HD, Neuss M, Winkler D. Intramedullary spinal cord tumors resected with CO2 laser microsurgical technique: recent experience in fifteen patients. Neurosurgery 1988; 22 (03) 518-522
17 Roka L. Clinical aspects and pathologic anatomy of tumors of the oblongata and cord in the region of the foramen magna [Article in Undetermined language]. Arch Psychiatr Nervenkr Z Gesamte Neurol Psychiatr 1951; 186 (04) 413-436
18 Prakash B, Roy S, Tandon PN. Schwannoma of the brain stem: case report. J Neurosurg 1980; 53 (01) 121-123
19 Shalit MN, Sandbank U. Cervical intramedullary schwannoma. Surg Neurol 1981; 16 (01) 61-64