Open AccessIntradural tumor and concomitant disc herniation of cervical spine
Author(s) -
Mukta Bapat,
Prasanna Rathi,
Uday Pawar,
Kshitij Chaudhary
Publication year - 2011
Publication title -
indian journal of orthopaedics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.434
H-Index - 33
eISSN - 1998-3727
pISSN - 0019-5413
DOI - 10.4103/0019-5413.73663
Subject(s) - medicine , myelopathy , spinal cord compression , magnetic resonance imaging , schwannoma , spinal cord , radiology , discectomy , cervical spine , concomitant , surgery , lesion , lumbar , psychiatry
We report a rare patient of a simultaneous extradural and intradural compression of the cervical spinal cord due to co-existent intervertebral disc herniation and an intradural schwannoma at the same level. The intradural lesion was missed resulting in recurrence of myelopathy after a surprisingly complete functional recovery following anterior cervical discectomy. Retrospectively, it was noted that the initial cord swelling noticed was tumor being masked by the compression produced by the herniated disc. A contrast magnetic resonance imaging scan is important in differentiating intradural tumors of the spinal cord. A high index of suspicion is often successful in unmasking both the pathologies.