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Case Report

Acute paraplegia due to thoracolumbar schwannoma following trauma: A case report and literature review

  • Authors:
    • Dimitris A. Karabetsos
    • Christos Tsitsipanis
    • Christos Koutserimpas
    • Vrettos Chaniotis
    • Antonios Vakis
    • George Samonis
    • Kalliopi Alpantaki
  • View Affiliations / Copyright

    Affiliations: Department of Neurosurgery, University Hospital of Crete, Heraklion 71500, Greece, Department of Orthopaedics and Traumatology, ‘251’ Hellenic Air Force General Hospital of Athens, Athens 11525, Greece, Department of Pathology, General Hospital of Chania, Chania 73300, Greece, Department of Internal Medicine, University Hospital of Crete, Heraklion 71500, Greece, Department of Orthopaedics and Trauma, Venizeleion General Hospital of Heraklion, Heraklion 71409, Greece
  • Article Number: 204
    |
    Published online on: August 8, 2021
       https://doi.org/10.3892/mco.2021.2366
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Abstract

Spinal schwannomas account for one third of primary spinal neoplasms. Clinical presentation is related to the tumor location. An atypical case of acute paraplegia following a fall, on the ground of a thoracolumbar schwannoma, without intratumoral hemorrhage, in a previously asymptomatic patient is reported. A 58‑year‑old male patient presented with acute paraplegia, and urinary and bowel incontinence, following a fall. The patient had no previous history of back and/or leg pain or neurological symptoms. Magnetic resonance imaging revealed a subdural mass, as well as a fracture of the right T12‑L1 facet joint and the right transverse process. The patient underwent emergency T11‑L1 wide laminectomy, exploration of the subdural space and T10‑L2 posterolateral transpedicular stabilization and fusion. An intradural, extramedullary mass, causing severe cord compression, was found and excised. Pathology revealed schwannoma, without intratumoral hemorrhage. The patient recovered completely 6 months postoperatively. To the best of our knowledge, this is the first report of spinal intradural schwannoma causing sudden paraplegia in a previously asymptomatic patient in the setting of trauma, without intratumoral hemorrhage. Emergency canal decompression and complete excision of the tumor represent the optimal management of such cases.
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Copy and paste a formatted citation
Spandidos Publications style
Karabetsos DA, Tsitsipanis C, Koutserimpas C, Chaniotis V, Vakis A, Samonis G and Alpantaki K: Acute paraplegia due to thoracolumbar schwannoma following trauma: A case report and literature review. Mol Clin Oncol 15: 204, 2021.
APA
Karabetsos, D.A., Tsitsipanis, C., Koutserimpas, C., Chaniotis, V., Vakis, A., Samonis, G., & Alpantaki, K. (2021). Acute paraplegia due to thoracolumbar schwannoma following trauma: A case report and literature review. Molecular and Clinical Oncology, 15, 204. https://doi.org/10.3892/mco.2021.2366
MLA
Karabetsos, D. A., Tsitsipanis, C., Koutserimpas, C., Chaniotis, V., Vakis, A., Samonis, G., Alpantaki, K."Acute paraplegia due to thoracolumbar schwannoma following trauma: A case report and literature review". Molecular and Clinical Oncology 15.4 (2021): 204.
Chicago
Karabetsos, D. A., Tsitsipanis, C., Koutserimpas, C., Chaniotis, V., Vakis, A., Samonis, G., Alpantaki, K."Acute paraplegia due to thoracolumbar schwannoma following trauma: A case report and literature review". Molecular and Clinical Oncology 15, no. 4 (2021): 204. https://doi.org/10.3892/mco.2021.2366
Copy and paste a formatted citation
x
Spandidos Publications style
Karabetsos DA, Tsitsipanis C, Koutserimpas C, Chaniotis V, Vakis A, Samonis G and Alpantaki K: Acute paraplegia due to thoracolumbar schwannoma following trauma: A case report and literature review. Mol Clin Oncol 15: 204, 2021.
APA
Karabetsos, D.A., Tsitsipanis, C., Koutserimpas, C., Chaniotis, V., Vakis, A., Samonis, G., & Alpantaki, K. (2021). Acute paraplegia due to thoracolumbar schwannoma following trauma: A case report and literature review. Molecular and Clinical Oncology, 15, 204. https://doi.org/10.3892/mco.2021.2366
MLA
Karabetsos, D. A., Tsitsipanis, C., Koutserimpas, C., Chaniotis, V., Vakis, A., Samonis, G., Alpantaki, K."Acute paraplegia due to thoracolumbar schwannoma following trauma: A case report and literature review". Molecular and Clinical Oncology 15.4 (2021): 204.
Chicago
Karabetsos, D. A., Tsitsipanis, C., Koutserimpas, C., Chaniotis, V., Vakis, A., Samonis, G., Alpantaki, K."Acute paraplegia due to thoracolumbar schwannoma following trauma: A case report and literature review". Molecular and Clinical Oncology 15, no. 4 (2021): 204. https://doi.org/10.3892/mco.2021.2366
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