Open AccessIntralesional and subarachnoid bleeding of a spinal schwannoma presenting with acute cauda equina syndrome
Author(s) -
Mauro Dobran,
Davide Nasi,
Martina Della Costanza,
Francesco Formica
Publication year - 2019
Publication title -
bmj case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.231
H-Index - 26
ISSN - 1757-790X
DOI - 10.1136/bcr-2019-229251
Subject(s) - medicine , cauda equina , cauda equina syndrome , schwannoma , urinary retention , surgery , spinal cord , spinal cord compression , subarachnoid haemorrhage , subarachnoid hemorrhage , neurooncology , decompression , spinal cord neoplasm , aneurysm , psychiatry
We present an unusual case of spinal neurinoma with intralesional and subarachnoid bleeding with acute cauda equina syndrome. A 38-year-old man was admitted to our department after a minor thoracic spinal trauma with right lower limb plegia and urinary retention. MRI showed a T11 intradural tumour with intralesional and subarachnoid haemorrhage. The patient was operated of spinal cord decompression and complete tumour resection. The histological examination documented a schwannoma with large haemorrhagic intratumoural areas. A full neurological recovery was documented at 6-month follow-up.