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Case report
peer-reviewed

Mobile Schwannoma of the Lumbar Spine: A Case Report and Review of the Literature



Abstract

Mobile schwannomas of the spine have been sparsely documented in the literature. In cases referred to in existing literature, the migratory schwannoma was documented to occur in the lumbar spine. We added another case to the small available literature. In our case report, the patient had a previously known lumbar schwannoma that was being managed conservatively. Due to an acute change in clinical symptoms, repeat imaging was performed. A magnetic resonance imaging (MRI) of his spine revealed migration of the schwannoma two levels rostral to his recent imaging from six weeks earlier. The patient underwent surgical resection of his lesion. During the operation, the ultrasound was utilized to confirm the lesion prior to dural opening. In this report, we attempt to provide further evidence of the utility of an intraoperative ultrasound for intradural lesions and intend to add to the published literature of mobile schwannomas of the spine



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Case report
peer-reviewed

Mobile Schwannoma of the Lumbar Spine: A Case Report and Review of the Literature


Author Information

Daniel T. Toscano

Georgetown University School of Medicine, Medstar Georgetown University Hospital

Daniel R. Felbaum Corresponding Author

Neurosurgery, Medstar Georgetown University Hospital

Joshua E. Ryan

Neurosurgery, Medstar Georgetown University Hospital

Anousheh Sayah

Neuroradiology, Medstar Georgetown University Hospital

Mani N. Nair

Neurosurgery, Medstar Georgetown University Hospital


Ethics Statement and Conflict of Interest Disclosures

Human subjects: All authors have confirmed that this study did not involve human participants or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.


Case report
peer-reviewed

Mobile Schwannoma of the Lumbar Spine: A Case Report and Review of the Literature


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Case report
peer-reviewed

Mobile Schwannoma of the Lumbar Spine: A Case Report and Review of the Literature

  • Author Information
    Daniel T. Toscano

    Georgetown University School of Medicine, Medstar Georgetown University Hospital

    Daniel R. Felbaum Corresponding Author

    Neurosurgery, Medstar Georgetown University Hospital

    Joshua E. Ryan

    Neurosurgery, Medstar Georgetown University Hospital

    Anousheh Sayah

    Neuroradiology, Medstar Georgetown University Hospital

    Mani N. Nair

    Neurosurgery, Medstar Georgetown University Hospital


    Ethics Statement and Conflict of Interest Disclosures

    Human subjects: All authors have confirmed that this study did not involve human participants or tissue. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work.

    Acknowledgements


    Article Information

    Published: July 27, 2016

    DOI

    10.7759/cureus.715

    Cite this article as:

    Toscano D T, Felbaum D R, Ryan J E, et al. (July 27, 2016) Mobile Schwannoma of the Lumbar Spine: A Case Report and Review of the Literature. Cureus 8(7): e715. doi:10.7759/cureus.715

    Publication history

    Received by Cureus: June 11, 2016
    Peer review began: June 29, 2016
    Peer review concluded: July 14, 2016
    Published: July 27, 2016

    Copyright

    © Copyright 2016
    Toscano et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CC-BY 3.0., which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

    License

    This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Mobile schwannomas of the spine have been sparsely documented in the literature. In cases referred to in existing literature, the migratory schwannoma was documented to occur in the lumbar spine. We added another case to the small available literature. In our case report, the patient had a previously known lumbar schwannoma that was being managed conservatively. Due to an acute change in clinical symptoms, repeat imaging was performed. A magnetic resonance imaging (MRI) of his spine revealed migration of the schwannoma two levels rostral to his recent imaging from six weeks earlier. The patient underwent surgical resection of his lesion. During the operation, the ultrasound was utilized to confirm the lesion prior to dural opening. In this report, we attempt to provide further evidence of the utility of an intraoperative ultrasound for intradural lesions and intend to add to the published literature of mobile schwannomas of the spine



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Create a free account to continue reading this article.

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Daniel T. Toscano

Georgetown University School of Medicine, Medstar Georgetown University Hospital

Daniel R. Felbaum

Neurosurgery, Medstar Georgetown University Hospital

For correspondence:
rocky.felbaum@gmail.com

Joshua E. Ryan

Neurosurgery, Medstar Georgetown University Hospital

Anousheh Sayah

Neuroradiology, Medstar Georgetown University Hospital

Mani N. Nair

Neurosurgery, Medstar Georgetown University Hospital

Daniel T. Toscano

Georgetown University School of Medicine, Medstar Georgetown University Hospital

Daniel R. Felbaum

Neurosurgery, Medstar Georgetown University Hospital

For correspondence:
rocky.felbaum@gmail.com

Joshua E. Ryan

Neurosurgery, Medstar Georgetown University Hospital

Anousheh Sayah

Neuroradiology, Medstar Georgetown University Hospital

Mani N. Nair

Neurosurgery, Medstar Georgetown University Hospital