Journal of
Neuroscience and Behavioral Health

  • Abbreviation: J. Neurosci. Behav. Health
  • Language: English
  • ISSN: 2141-2286
  • DOI: 10.5897/JNBH
  • Start Year: 2009
  • Published Articles: 67

Case Report

Spinal cystic schwannoma: A rare case report

Koshi Ninomiya
  • Koshi Ninomiya
  • Department of Neurosurgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita City, Osaka, Japan.
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Koichi Iwatsuki
  • Koichi Iwatsuki
  • Department of Neurosurgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita City, Osaka, Japan.
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Akira Murasawa
  • Akira Murasawa
  • Department of Neurosurgery, Kawachi General Hospital, 2-2 Yamadaoka, Suita City, Osaka, Japan.
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Kazutami Nakao
  • Kazutami Nakao
  • Department of Neurosurgery, Kawachi General Hospital, 2-2 Yamadaoka, Suita City, Osaka, Japan.
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Toshiki Yoshimine
  • Toshiki Yoshimine
  • Department of Neurosurgery, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Suita City, Osaka, Japan.
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  •  Received: 05 August 2015
  •  Accepted: 01 March 2016
  •  Published: 31 March 2016

Abstract

A 78-year-old man was referred to our department with severe low back pain and gait disturbance. Lumbar magnetic resonance imaging (MRI) showed a large, well-circumscribed mass isointense with cerebrospinal fluid on T1- and T2-weighted imaging at the conus level. Arachnoid cyst without performing contrast-enhanced MRI was initially diagnosed. Intraoperative observation and postoperative histopathological examination revealed totally cystic schwannoma. Contrast-enhanced MRI is very important for the diagnosis of this rare tumor and should have been performed in this case.

 

Key words: Totally cystic schwannoma, arachnoid cyst, magnetic resonance imaging.