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### Learning Point for CliniciansClinicians must consider schwannomas in acute paraparesis in young people. Prompt diagnostic imaging is critical for early intervention. Surgical decompression can result in significant improvement and favorable outcomes, especially when performed early. A thorough neurologic examination will allow proper anatomic localization and guide further investigations.Schwannomas are neoplasms that arise from schwann cells of the posterior spinal root, cranial nerves or peripheral nerves. They account for up to 30% of all spinal tumors and have roughly the same incidence as meningiomas. They may involve multiple spinal compartments (intradural extramedullary 72%, extradural 13%, intradural and extradural 13% and intramedullary 1%).1 Classification of these tumors uses location and extent and entails five distinct classes.2 Class V has been described almost exclusively in the lumbosacral spine and as intrascaral lesions.2,3 However, rare reports have described giant thoracic schwannomas.4 We report the case of a patient with type V thoracic schwannoma mimicking acute …

Giant thoracic schwannoma masquerading as transverse myelitis