Giant Intrasacral Schwannoma.
- Author:
Hyung Ki PARK
1
;
Won Han SHIN
;
Bum Tae KIM
;
Dong Whoa LEE
;
Bark Jung BYUN
;
Soon Kwan CHOI
Author Information
1. Department of Neurosurgery and Anatomical Pathology, College of Medicine, Soonchunhyang University, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Schwannoma;
Sacrum;
Presacral space;
CT;
MRI
- MeSH:
Humans;
Laminectomy;
Low Back Pain;
Magnetic Resonance Imaging;
Middle Aged;
Neurilemmoma*;
Sacrum;
Sciatica;
Spine
- From:Journal of Korean Neurosurgical Society
1999;28(3):398-401
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Sacral schwannoma is a rare lesion with a tendency to reach large proportions. The authors report a case of giant intrasacral schwannoma in a 49-year-old man who had persistent lumbago and sciatica over 15 years period. Plain spine X-ray revealed destruction of the sacrum and myelogram demonstrated a complete ampu-tation of the lumbosacral cul-de-sac at the L5/S1 level. CT and MRI showed a destructive mass lesion within the upper part of sacrum with a large mass extending into the presacral space. The patient underwent su rgery consisted of posterior lumbosacral laminectomy and subtotal removal of tumor. Pathologic examination revealed a benign schwannoma. The patient returned to work 1 month postoperatively with improvement of symptoms. Characteristics of this case with a pe rtinent literature are reviewed.