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Updated: Jun 5, 2026

Intraoperative Ultrasound in Spinal Surgery
Published on: August 17, 2022
Intradural tumor and concomitant disc herniation of cervical spine
Mihir R Bapat1, Prasanna Rathi, Uday Pawar
1Spine Surgeon, Department of Bone and Joints, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, India.
Abstract:
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.
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