Synchronous Development of Spinal Cord Tumor: Meningioma and Schwannoma - A Case Report -

Hak-Jin Min; Jin-Soo Kim; Ju-Pil Seok

doi:10.4184/jkss.2011.18.4.263

Journal List > J Korean Soc Spine Surg > v.18(4) > 1075954

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Min, Kim, and Seok: Synchronous Development of Spinal Cord Tumor: Meningioma and Schwannoma - A Case Report -

Case Report

Journal of Korean Spine Surg 2011;18(4):263-267.

Published online: 21 December 2011

DOI: https://doi.org/10.4184/jkss.2011.18.4.263

Synchronous Development of Spinal Cord Tumor: Meningioma and Schwannoma - A Case Report -

Hak-Jin Min, M.D., Jin-Soo Kim, M.D., Ju-Pil Seok, M.D.

Department of Orthopedic Surgery, Seoul Medical Center, Seoul, Korea

Corresponding author: Jin-Soo Kim, M.D. Department of Orthopaedic Surgery, Seoul Medical Center, 316, Sinnae-dong, Jungnang-gu, Seoul 131-865, Korea. TEL: 82-2-2276-8607, FAX: 82-2-539-1262 E-mail: rocket-jinsoo@hanmail.net

Received 25 July 2011 Revised 9 November 2011 Accepted 25 November 2011

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Study Design

A case report.

Objectives

To report a case of thoracic spinal meningioma and lumbar spinal schwannoma found in one patient.

Summary of Literature Review

patients with different types of spinal cord tumor, specifically meningioma and schwannoma, are rare in medical literature.

Materials and Methods

A 66 year-old female presented with complaints of walking difficulty. She had masses on the thoracic and lumbar spine and underwent open excision and biopsy.

Results

Three months after operation, the patient could walk independently and no recurrence was found at 1-year follow up.

Conclusions

Thoracic spinal meningioma and lumbar spinal schwannoma occurring in one individual were treated successfully by operative management.

Keywords: Spinal cord, Meningioma, Schwannoma

REFERENCES

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Fig. 1.

(A) Preoperative Gd-enhanced sagittal MRI demonstrated that the mass shows high signal intensity on T3-4 level. (B) Preoperative Gd-enhanced sagittal MRI demonstrated that the mass shows heterogeneous high signal intensity on L1-2 level. (C) Low signal intensity change of L1-2 mass shows on T2-weighted sagittal MRI. (D) Preoperative Gd-enhanced axial MRI of T3-4 mass demonstrated that the mass has a dural tail sign. (E) Preoperative Gd-enhanced axial MRI of L1-2 mass shows heterogeneous signal intensity.

Fig. 2.

T-spine CT scan image shows a ossification within the mass.

Fig. 3.

Thoracic mass was excised by performing longitudinal dural incision. The mass was attached to dural sac but excised without dural defect, measuring 1.2x0.8x0.6 cm

Fig. 4.

Lumbar mass which containing a intermingled nerve fiber was yellowish, well capsulated and cylinderic shape, measuring 4.1x1.9x1.7 cm.

Fig. 5.

(A) Photomicrograph of tumor of T-spine showing characteristic meningeal whorls (H&E, x200) (B) Photomicrograph of the tumor of L-spine showing compact cellular Antoni type A and loose myxoid Antoni type B (H&E, x200)

Fig. 6.

Gd-enhanced & T2-weighted T-spine MR images(A,B) and T2-weighted L-spine MR images(C,D,E) of same patient 1year later show no recurrence of tumor.

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