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Intraoperative Ultrasound in Spinal Surgery
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[Spinal schwannomas: case series].

Meryem Himmiche1, Youssef Joulali1, Imane Staouni Benabdallah1

  • 1University Hassan II Hospital, Neurosurgery Department, Fez, Morocco.

The Pan African Medical Journal
|November 7, 2019
PubMed
Summary

Spinal schwannomas, benign tumors originating from spinal roots, are managed effectively with surgical resection. This study highlights their features and successful treatment outcomes in a 13-year case series.

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Area of Science:

  • Neurosurgery
  • Oncology
  • Spinal Cord Tumors

Background:

  • Spinal schwannomas are benign tumors originating from Schwann cells of spinal roots, constituting 30% of all spinal tumors.
  • These tumors represent a significant portion (19.5%) of surgically treated spinal cord compressions.

Purpose of the Study:

  • To report the management experience of spinal schwannomas from diagnosis to treatment.
  • To highlight the clinical features, diagnostic modalities, and treatment outcomes of spinal schwannomas.
  • To compare the findings with existing literature.

Main Methods:

  • A 13-year retrospective study of patients with spinal schwannomas managed at University Hospital Hassan II, Fez.
  • Diagnosis confirmed via Magnetic Resonance Imaging (MRI) and histological examination.
Keywords:
Spinal shwannomamedullary MRIsurgery

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  • Surgical resection as the primary treatment modality.

    • Main Results:

    • The average patient age was 45 years, with a slight female predominance.
    • Common symptoms included spinal and radicular pain, with 50% experiencing neurological deficits.
    • Predominantly thoracic (40%) and intradural (62%) lesions, with complete surgical resection achieved in 96% of cases.
    • Histology confirmed benign schwannoma in most cases; one malignant schwannoma and one neurofibroma were identified.

    Conclusions:

    • Spinal schwannomas are predominantly benign tumors with insidious onset, often presenting with pain and neurological deficits.
    • Complete surgical resection is the mainstay of treatment, yielding favorable outcomes.
    • Early diagnosis and surgical intervention are crucial for managing spinal schwannomas effectively.