Intralesional and subarachnoid bleeding of a spinal schwannoma presenting with acute cauda equina syndrome. Issue 7 (12th July 2019)

• Record Type: Journal Article
• Authors: Dobran, Mauro; Nasi, Davide; Della Costanza, Martina; Formica, Francesco
• Is Part Of: BMJ case reports. Volume 12:Issue 7(2019)
• Publication Date: 2019-07-12
• Subjects: neurosurgery -- spinal Cord -- neurooncology; Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2019-229251
• Languages: English
• ISSNs: 1757-790X

Abstract

Abstract : We present an unusual case of spinal neurinoma with intralesional and subarachnoid bleeding with acute cauda equina syndrome. A 38-year-old man was admitted to our department after a minor thoracic spinal trauma with right lower limb plegia and urinary retention. MRI showed a T11 intradural tumour with intralesional and subarachnoid haemorrhage. The patient was operated of spinal cord decompression and complete tumour resection. The histological examination documented a schwannoma with large haemorrhagic intratumoural areas. A full neurological recovery was documented at 6-month follow-up.