PDF(Pubmed)
Abstract：
BACKGROUND: Schwannoma, a benign nerve sheath tumor originating from Schwann cells, can migrate within the spine due to various factors, impacting surgical planning. Unforeseen movement complicates treatment, and it is considered a very rare tumor.
METHODS: A 24-year-old woman complained of persistent back pain and was examined at a neurosurgery clinic. Initial MRI found a spinal lesion that later moved, leading to two surgeries. The diagnosis was a Schwannoma, confirmed by examining the tissue under a microscope, showing characteristic features of a Schwannoma, specifically Antoni type A with recent hemorrhage.
CONCLUSIONS: Schwannoma, a rare nerve cell tumor, often migrates within the spine due to its lack of attachment within the dura. The tumor\'s movement can be triggered by various factors like nerve root laxity, pressure changes, body positioning, or medical procedures. A case study discussed a woman with back pain; her tumor migrated between two MRI scans, showcasing a common migration pattern. Lower back pain commonly manifests as a primary symptom in most cases. Imaging techniques such as myelography and intraoperative ultrasound assist in locating and managing these mobile tumors, advocating for their utilization to minimize surgical complications.
CONCLUSIONS: Reported a rare mobile thoracolumbar schwannoma from nerve sheath cells. Its mobility complicates surgery; precise imaging like intraoperative MRI and ultrasound are crucial for localization, preventing complications.
METHODS: A 24-year-old woman complained of persistent back pain and was examined at a neurosurgery clinic. Initial MRI found a spinal lesion that later moved, leading to two surgeries. The diagnosis was a Schwannoma, confirmed by examining the tissue under a microscope, showing characteristic features of a Schwannoma, specifically Antoni type A with recent hemorrhage.
CONCLUSIONS: Schwannoma, a rare nerve cell tumor, often migrates within the spine due to its lack of attachment within the dura. The tumor\'s movement can be triggered by various factors like nerve root laxity, pressure changes, body positioning, or medical procedures. A case study discussed a woman with back pain; her tumor migrated between two MRI scans, showcasing a common migration pattern. Lower back pain commonly manifests as a primary symptom in most cases. Imaging techniques such as myelography and intraoperative ultrasound assist in locating and managing these mobile tumors, advocating for their utilization to minimize surgical complications.
CONCLUSIONS: Reported a rare mobile thoracolumbar schwannoma from nerve sheath cells. Its mobility complicates surgery; precise imaging like intraoperative MRI and ultrasound are crucial for localization, preventing complications.
摘要：
背景：神经鞘瘤，起源于雪旺氏细胞的良性神经鞘瘤，由于各种因素可以在脊柱内迁移，影响手术计划。不可预见的运动使治疗复杂化，它被认为是一种非常罕见的肿瘤。
方法：一名24岁女性主诉持续背痛，在神经外科诊所接受检查。最初的核磁共振发现了一个脊柱病变，后来移动了，导致两个手术。诊断是神经鞘瘤,通过在显微镜下检查组织来证实，表现出神经鞘瘤的特征，特别是最近出血的安东尼A型。
结论：神经鞘瘤，一种罕见的神经细胞瘤,由于硬脑膜内缺乏附件，通常在脊柱内迁移。肿瘤的运动可以由各种因素触发，如神经根松弛，压力变化,身体定位,或医疗程序。一个案例研究讨论了一个背痛的女人；她的肿瘤在两次MRI扫描之间迁移，展示了一个常见的迁移模式。在大多数情况下，下背痛通常表现为主要症状。脊髓造影和术中超声等成像技术有助于定位和管理这些移动肿瘤，提倡利用它们来最大限度地减少手术并发症。
结论：报道了一种来自神经鞘细胞的罕见的可移动胸腰椎神经鞘瘤。它的移动性使手术复杂化；术中MRI和超声等精确成像对于定位至关重要，预防并发症。
方法：一名24岁女性主诉持续背痛，在神经外科诊所接受检查。最初的核磁共振发现了一个脊柱病变，后来移动了，导致两个手术。诊断是神经鞘瘤,通过在显微镜下检查组织来证实，表现出神经鞘瘤的特征，特别是最近出血的安东尼A型。
结论：神经鞘瘤，一种罕见的神经细胞瘤,由于硬脑膜内缺乏附件，通常在脊柱内迁移。肿瘤的运动可以由各种因素触发，如神经根松弛，压力变化,身体定位,或医疗程序。一个案例研究讨论了一个背痛的女人；她的肿瘤在两次MRI扫描之间迁移，展示了一个常见的迁移模式。在大多数情况下，下背痛通常表现为主要症状。脊髓造影和术中超声等成像技术有助于定位和管理这些移动肿瘤，提倡利用它们来最大限度地减少手术并发症。
结论：报道了一种来自神经鞘细胞的罕见的可移动胸腰椎神经鞘瘤。它的移动性使手术复杂化；术中MRI和超声等精确成像对于定位至关重要，预防并发症。
