NEUROPATHIC PAIN IN PATIENT WITH POST OPERATIVE SCHWANNOMA: A CASE REPORT PRIMARY INTRADURAL EXTRAMEDULLAR SPINAL CORD TUMOUR
Keywords:
Tumour Intradural Ekstramedular, schwanomaAbstract
Majority of spinal cord tumour is a benign tumour with symptoms are due to spinal cord compression. One of the symptoms that are often difficult to treat is a sensory deficit. The authors report a case of primary intradural extramedullar spinal cord tumour in 57-year-old man. This tumour was presenting symptoms of chronic low back pain, gradual progressive inferior paraplegia, and sensory deficit on both legs. MRI thoracal showed intradural lesion at Th 4-5-6, with isointensity on T1-weighted images and hyperintensity-isohomogen on T2-weighted images. The tumour was completely resected, and histopathology examination revealed schwannoma types. Patient showed a clinical improvement in motoric function noticeable after surgery, but showed sensory deficits sequelae requiring therapy for neuropathic pain.
References
Ropper AH, Brown RH. Adams and Victor’s Principles of Neurology 10th edition. New York: McGraw Hill. 2014
DeMonte F, Gilbert MR, et al. Tumours of The Brain and Spine. New York: Spinger Science Business Media. 2007
Baehr M, Frotscher M. Diagnosis Topis Neurologi Duus. Jakarta: EGC. 2010
Netter FH, Craig JA, et al. Atlas of Neuroanatomy and Neurophysiology. USA: Icon Custom Communications. 2012
National Institute of Neurological Disorders and Stroke. Brain and Spinal Cord Tumours. Bethesda: Department of Health and Human Services. 2009
Kose N, Muezzinoglu O, et al. Early rehabilitation improves neurofunctional outcome after surgery in children with spinal tumours. Neural Regen Res; 2014.15;9(2):129–134. DOI: 10.4103/16735374.125340
Raj VS, Lofton L. Rehabilitation and treatment of spinal cord tumours. J spinal Cord Med; 2013. 36(1): 4-11. DOI: 10.1179/2045772312Y.0000000015
Avramov T, Kyuchukov G, et al. Results of spinal tumours surgery. Journal of IMAB – Annual Proceeding (scientific Papers), book 1. 2009. Available from: https://www.journal-imab-bg.org/statii09/vol09_1_84-88str.pdf.
Rahmawati D, Marhaendraputro EA, Kurniawan SN, Wirathmawati A. Extracranial metastasis of glioblastoma: a rare case. Malang Neurology Journal; 2019.5:51-54. DOI: http://dx.doi.org/10.21776/ub.mnj.2019.005.01.10