The Journal of the Korean Bone and Joint Tumor Society  2011;17(2):106-110

doi:10.5292/jkbjts.2011.17.2.106

Intradural Schwannoma Associated with Lumbar Spinal Stenosis: A Case Report.

Jae Wan SOH 1 ; Tae Heon KIM ; Sai Won KWON

Affiliations

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Keywords

lumbar; spinal stenosis; intradural schwannoma

Country

Republic of Korea

Language

Korean

Abstract

In the patient who has intradural mass associated with spinal stenosis, if the operation for spinal stenosis is performed alone, the symptom may remain. We report with literature review that we achieved the successful outcome after simultaneous decompression of spinal stenosis and space occupying mass removal in the case of intradural and extradural compression. A 71-year-old female patient suffering from low back pain and radiating pain of both lower extremities admitted. In magnetic resonance imaging, spinal stenosis on L4-5 and spondylolisthesis on L5-S1 compressed dural sac and intradural space occupying mass on L4 level compressed. By posterior approach, decompression and interbody fusion were carried out. Then mass was removed with median durotomy. Pathologic diagnosis was schwannoma and the symptom was improved remarkably.