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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Kulliyyah of Medicine, International Islamic University Malaysia
2016
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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 |
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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 |
_version_ |
1777412485511380992 |