Conus medullary Syndrome secondary to Spinal Schwannoma : A report of 3 cases

Spinal Schwannoma originates from the Schwann cells, hence it is called Schwannoma. The tumor localization is in various parts of the spinal cord, but prevails in cervical and thoracic. In the literature 70 to 80% of spinal schwannomas are reported to be intradural in location, and 15% with both int...

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Main Authors: Mor Japar Khan, Ed Simor Khan, Ismail Mansor, Nur Akmal, Sharifudin, Mohd Ariff, Ayeop, Mohd Adham Syah, Chan, Kin Hup, Awang, Mohamed Saufi, Zakaria@Mohamad, Zamzuri
Format: Article
Language:English
Published: Kulliyyah of Medicine, International Islamic University Malaysia 2016
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Online Access:http://irep.iium.edu.my/63891/
http://irep.iium.edu.my/63891/
http://irep.iium.edu.my/63891/2/MRS2016-Conus%20Medullary%20Syndrome%20secondary%20to%20Spinal%20Schwannoma.pdf
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spelling iium-638912018-06-01T01:04:36Z http://irep.iium.edu.my/63891/ Conus medullary Syndrome secondary to Spinal Schwannoma : A report of 3 cases Mor Japar Khan, Ed Simor Khan Ismail Mansor, Nur Akmal Sharifudin, Mohd Ariff Ayeop, Mohd Adham Syah Chan, Kin Hup Awang, Mohamed Saufi Zakaria@Mohamad, Zamzuri RD701 Orthopedics Spinal Schwannoma originates from the Schwann cells, hence it is called Schwannoma. The tumor localization is in various parts of the spinal cord, but prevails in cervical and thoracic. In the literature 70 to 80% of spinal schwannomas are reported to be intradural in location, and 15% with both intradural and extradural components. All 3 cases were female in their 4th-5th decade, presented with either low back pain, radiculopathy, weakness of both lower limbs associated with urinary incontinence. MRI revealed a well defined mass adjacent to conus medullary area located intradural, extramedullary. All three patients underwent microscopic assisted excision of the tumour. All patients had Good Early Outcome. Spinal schwannoma causing Conus Medullary Syndrome is rare. Back pain and radicular pain were most common early presenting symptoms while urinary symptoms occur later. Schwannomas typically arise from a single nerve root originating from the schwann cells. To obtain total resection, the affected nerve root is commonly sacrificed in order to prevent recurrence. Intradural Extramedullary Schwannoma, even presented at a later stage with significant neurological deficit, has a Good Outcome post operatively owing to its Benign nature, Extramedullary location, and a Meticulous Microscopic assisted Complete Surgical Excision. Kulliyyah of Medicine, International Islamic University Malaysia 2016-11-10 Article NonPeerReviewed application/pdf en http://irep.iium.edu.my/63891/2/MRS2016-Conus%20Medullary%20Syndrome%20secondary%20to%20Spinal%20Schwannoma.pdf Mor Japar Khan, Ed Simor Khan and Ismail Mansor, Nur Akmal and Sharifudin, Mohd Ariff and Ayeop, Mohd Adham Syah and Chan, Kin Hup and Awang, Mohamed Saufi and Zakaria@Mohamad, Zamzuri (2016) Conus medullary Syndrome secondary to Spinal Schwannoma : A report of 3 cases. The International Medical Journal Malaysia, 15 (Supplementary Issue 1). p. 70. ISSN 1823-4631 http://iiumedic.net/imjm/v1/download/Volume%2015%20Supplement/MRS2016-ABSTRACT-BOOK-70.pdf
repository_type Digital Repository
institution_category Local University
institution International Islamic University Malaysia
building IIUM Repository
collection Online Access
language English
topic RD701 Orthopedics
spellingShingle RD701 Orthopedics
Mor Japar Khan, Ed Simor Khan
Ismail Mansor, Nur Akmal
Sharifudin, Mohd Ariff
Ayeop, Mohd Adham Syah
Chan, Kin Hup
Awang, Mohamed Saufi
Zakaria@Mohamad, Zamzuri
Conus medullary Syndrome secondary to Spinal Schwannoma : A report of 3 cases
description Spinal Schwannoma originates from the Schwann cells, hence it is called Schwannoma. The tumor localization is in various parts of the spinal cord, but prevails in cervical and thoracic. In the literature 70 to 80% of spinal schwannomas are reported to be intradural in location, and 15% with both intradural and extradural components. All 3 cases were female in their 4th-5th decade, presented with either low back pain, radiculopathy, weakness of both lower limbs associated with urinary incontinence. MRI revealed a well defined mass adjacent to conus medullary area located intradural, extramedullary. All three patients underwent microscopic assisted excision of the tumour. All patients had Good Early Outcome. Spinal schwannoma causing Conus Medullary Syndrome is rare. Back pain and radicular pain were most common early presenting symptoms while urinary symptoms occur later. Schwannomas typically arise from a single nerve root originating from the schwann cells. To obtain total resection, the affected nerve root is commonly sacrificed in order to prevent recurrence. Intradural Extramedullary Schwannoma, even presented at a later stage with significant neurological deficit, has a Good Outcome post operatively owing to its Benign nature, Extramedullary location, and a Meticulous Microscopic assisted Complete Surgical Excision.
format Article
author Mor Japar Khan, Ed Simor Khan
Ismail Mansor, Nur Akmal
Sharifudin, Mohd Ariff
Ayeop, Mohd Adham Syah
Chan, Kin Hup
Awang, Mohamed Saufi
Zakaria@Mohamad, Zamzuri
author_facet Mor Japar Khan, Ed Simor Khan
Ismail Mansor, Nur Akmal
Sharifudin, Mohd Ariff
Ayeop, Mohd Adham Syah
Chan, Kin Hup
Awang, Mohamed Saufi
Zakaria@Mohamad, Zamzuri
author_sort Mor Japar Khan, Ed Simor Khan
title Conus medullary Syndrome secondary to Spinal Schwannoma : A report of 3 cases
title_short Conus medullary Syndrome secondary to Spinal Schwannoma : A report of 3 cases
title_full Conus medullary Syndrome secondary to Spinal Schwannoma : A report of 3 cases
title_fullStr Conus medullary Syndrome secondary to Spinal Schwannoma : A report of 3 cases
title_full_unstemmed Conus medullary Syndrome secondary to Spinal Schwannoma : A report of 3 cases
title_sort conus medullary syndrome secondary to spinal schwannoma : a report of 3 cases
publisher Kulliyyah of Medicine, International Islamic University Malaysia
publishDate 2016
url http://irep.iium.edu.my/63891/
http://irep.iium.edu.my/63891/
http://irep.iium.edu.my/63891/2/MRS2016-Conus%20Medullary%20Syndrome%20secondary%20to%20Spinal%20Schwannoma.pdf
first_indexed 2023-09-18T21:30:37Z
last_indexed 2023-09-18T21:30:37Z
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