%0 Case Reports
%T A rare case of intramedullary schwannoma at conus medullaris: A case report with review of literature.
%A Varshney R
%A Bharadwaj P
%A Choudhary A
%A Paliwal P
%A Kaushik K
%J Surg Neurol Int
%V 11
%N 0
%D 2020
%M 33408939
暂无%R 10.25259/SNI_718_2020
%X <B>UNASSIGNED: </B>Intramedullary spinal schwannomas constitute only 0.3% of primary spine tumors. We could identify only 13 such cases involving the conus that were not associated with neurofibromatosis (NF). Here, we report a 70-year-old male without NF who was found to have a paraparesis due to a schwannoma of the thoracolumbar junction/conus (D11-L2).<BR><B>UNASSIGNED: </B>A 70-year-old male presented with an L1-level paraparesis with urinary incontinence. The magnetic resonance showed an intramedullary mass of 85 × 10 mm extending from D11 to L2; it demonstrated significant patchy enhancement. The patient underwent a D12 and L1 laminectomy with gross total excision of the mass that proved to be a schwannoma. Three months postoperatively, he was able to ambulate with support, and regained sphincter function.<BR><B>UNASSIGNED: </B>Intramedullary schwannomas involving the conus/thoracolumbar junction are rare, and can be successfully excised resulting in good outcomes.