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Toe walking after three: how serious could it be?

Linda-Marie Ustaris1, Roberta Seidman2, Tejwant Bindra3

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|June 1, 2018
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Summary
This summary is machine-generated.

A pediatric spinal schwannoma, a rare tumor, was diagnosed in a young girl presenting with neurological symptoms. Surgical removal led to an excellent recovery, highlighting early diagnosis and intervention for spinal cord tumors.

Keywords:
neurosurgerypaediatricspathologyspinal cord

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Area of Science:

  • Pediatric Neurology
  • Neurosurgery
  • Oncology

Background:

  • Spinal schwannomas are rare tumors, particularly in children.
  • Early diagnosis is crucial for favorable outcomes in pediatric spinal cord compression.

Observation:

  • A 4-year-old girl presented with progressive gait disturbance and lower extremity neurological deficits.
  • Cervical spine MRI revealed a large intradural-extradural mass originating from the C7 nerve root, causing cord compression.

Findings:

  • Pathology confirmed a benign schwannoma with characteristic S100 and CD56 expression and low proliferation index.
  • Surgical excision via C6-C7 laminectomy resulted in complete tumor removal.

Implications:

  • This case underscores the importance of considering spinal tumors in pediatric patients with unexplained neurological symptoms.
  • Prompt surgical intervention for spinal schwannomas in children can lead to excellent functional recovery.