Skip to main content
Top
Published in: European Spine Journal 1/2016

01-05-2016 | Case Report

Giant cystic sacral schwannoma mimicking tarlov cyst: a case report

Authors: Mark A. Attiah, Peter P. Syre, John Pierce, Elizaveta Belyaeva, William C. Welch

Published in: European Spine Journal | Special Issue 1/2016

Login to get access

Abstract

Purpose

To present a rare case of a giant schwannoma of the sacrum mimicking a Tarlov cyst.

Methods

A 58-year-old woman had a 1-year history of low back pain. MRI revealed a large cystic mass in the sacral canal with bony erosion. Radiological diagnosis of Tarlov cyst was made.

Results

The patient underwent surgical treatment for the lesion, which revealed a solid mass. Histopathological examination of the tumor confirmed the diagnosis of schwannoma. The postoperative course was uneventful and the patient has had significant improvement in her pain 1 month postoperatively.

Conclusion

Giant cystic schwannoma of the sacrum is a very rare diagnosis overlooked by practitioners for more common cystic etiologies, but its treatment is significantly different. Care should be taken to include this diagnosis in a differential for a cystic sacral mass.
Literature
1.
go back to reference Bhatia S, Khosla A, Dhir R et al (1992) Giant lumbosacral nerve sheath tumors. Surg Neurol 37:118–122CrossRefPubMed Bhatia S, Khosla A, Dhir R et al (1992) Giant lumbosacral nerve sheath tumors. Surg Neurol 37:118–122CrossRefPubMed
5.
go back to reference Jaiswal A, Shetty AP, Rajasekaran S (2008) Giant cystic intradural schwannoma in the lumbosacral region: a case report. J Orthop Surg (Hong Kong) 16:102–106 Jaiswal A, Shetty AP, Rajasekaran S (2008) Giant cystic intradural schwannoma in the lumbosacral region: a case report. J Orthop Surg (Hong Kong) 16:102–106
6.
go back to reference Kagaya H, Abe E, Sato K et al (2000) Giant cauda equina schwannoma. A case report. Spine 25:268–272PubMed Kagaya H, Abe E, Sato K et al (2000) Giant cauda equina schwannoma. A case report. Spine 25:268–272PubMed
7.
go back to reference Conti P, Pansini G, Mouchaty H et al (2004) Spinal neurinomas: retrospective analysis and long-term outcome of 179 consecutively operated cases and review of the literature. Surg Neurol 61:34–43 discussion 44 CrossRefPubMed Conti P, Pansini G, Mouchaty H et al (2004) Spinal neurinomas: retrospective analysis and long-term outcome of 179 consecutively operated cases and review of the literature. Surg Neurol 61:34–43 discussion 44 CrossRefPubMed
8.
go back to reference Ross DA, Edwards MS, Wilson CB (1986) Intramedullary neurilemomas of the spinal cord: report of two cases and review of the literature. Neurosurgery 19:458–464CrossRefPubMed Ross DA, Edwards MS, Wilson CB (1986) Intramedullary neurilemomas of the spinal cord: report of two cases and review of the literature. Neurosurgery 19:458–464CrossRefPubMed
9.
go back to reference Hanakita J, Suwa H, Nagayasu S et al (1992) Clinical features of intradural neurinomas in the cauda equina and around the conus medullaris. Neurochirurgia 35:145–149. doi:10.1055/s-2008-1052267 PubMed Hanakita J, Suwa H, Nagayasu S et al (1992) Clinical features of intradural neurinomas in the cauda equina and around the conus medullaris. Neurochirurgia 35:145–149. doi:10.​1055/​s-2008-1052267 PubMed
10.
go back to reference Caputo LA, Cusimano MD (1997) Schwannoma of the cauda equina. J Manipulative Physiol Ther 20:124–129PubMed Caputo LA, Cusimano MD (1997) Schwannoma of the cauda equina. J Manipulative Physiol Ther 20:124–129PubMed
11.
go back to reference Dario A, Dorizzi A, Marra A et al (1993) Lumbar neurinoma associated with hydrocephalus. Case report. J Neurosurg Sci 37:179–182PubMed Dario A, Dorizzi A, Marra A et al (1993) Lumbar neurinoma associated with hydrocephalus. Case report. J Neurosurg Sci 37:179–182PubMed
12.
go back to reference Cohen ZR, Knoller N, Hadani M et al (2000) Traumatic intratumoral hemorrhage as the presenting symptom of a spinal neurinoma. Case report. J Neurosurg 93:327–329PubMed Cohen ZR, Knoller N, Hadani M et al (2000) Traumatic intratumoral hemorrhage as the presenting symptom of a spinal neurinoma. Case report. J Neurosurg 93:327–329PubMed
16.
go back to reference Cury J, Coelho RF, Srougi M (2007) Retroperitoneal schwannoma: case series and literature review. Clinics 62:359–362CrossRefPubMed Cury J, Coelho RF, Srougi M (2007) Retroperitoneal schwannoma: case series and literature review. Clinics 62:359–362CrossRefPubMed
17.
go back to reference Acosta FL, Quinones-Hinojosa A, Schmidt MH, Weinstein PR (2003) Diagnosis and management of sacral Tarlov cysts. Case report and review of the literature. Neurosurg Focus 15:E15CrossRefPubMed Acosta FL, Quinones-Hinojosa A, Schmidt MH, Weinstein PR (2003) Diagnosis and management of sacral Tarlov cysts. Case report and review of the literature. Neurosurg Focus 15:E15CrossRefPubMed
18.
go back to reference Erlandson RA, Woodruff JM (1982) Peripheral nerve sheath tumors: an electron microscopic study of 43 cases. Cancer 49:273–287CrossRefPubMed Erlandson RA, Woodruff JM (1982) Peripheral nerve sheath tumors: an electron microscopic study of 43 cases. Cancer 49:273–287CrossRefPubMed
20.
go back to reference Santi MD, Mitsunaga MM, Lockett JL (1993) Total sacrectomy for a giant sacral schwannoma. A case report. Clin Orthop Relat Res 294:285–289PubMed Santi MD, Mitsunaga MM, Lockett JL (1993) Total sacrectomy for a giant sacral schwannoma. A case report. Clin Orthop Relat Res 294:285–289PubMed
21.
go back to reference Carvalho GA, Tatagiba M, Samii M (2000) Cystic schwannomas of the jugular foramen: clinical and surgical remarks. Neurosurgery 46:560–566CrossRefPubMed Carvalho GA, Tatagiba M, Samii M (2000) Cystic schwannomas of the jugular foramen: clinical and surgical remarks. Neurosurgery 46:560–566CrossRefPubMed
23.
go back to reference Kobayashi S, Uchida K, Kokubo Y et al (2007) A schwannoma of the S1 dural sleeve was resected while the intact nerve fibers were preserved using a microscope. report of a case with early mri findings. Minim Invasive Neurosurg 50:120–123. doi:10.1055/s-2007-982506 CrossRefPubMed Kobayashi S, Uchida K, Kokubo Y et al (2007) A schwannoma of the S1 dural sleeve was resected while the intact nerve fibers were preserved using a microscope. report of a case with early mri findings. Minim Invasive Neurosurg 50:120–123. doi:10.​1055/​s-2007-982506 CrossRefPubMed
24.
go back to reference Sridhar K, Ramamurthi R, Vasudevan MC, Ramamurthi B (2001) Giant invasive spinal schwannomas: definition and surgical management. J Neurosurg 94:210–215PubMed Sridhar K, Ramamurthi R, Vasudevan MC, Ramamurthi B (2001) Giant invasive spinal schwannomas: definition and surgical management. J Neurosurg 94:210–215PubMed
Metadata
Title
Giant cystic sacral schwannoma mimicking tarlov cyst: a case report
Authors
Mark A. Attiah
Peter P. Syre
John Pierce
Elizaveta Belyaeva
William C. Welch
Publication date
01-05-2016
Publisher
Springer Berlin Heidelberg
Published in
European Spine Journal / Issue Special Issue 1/2016
Print ISSN: 0940-6719
Electronic ISSN: 1432-0932
DOI
https://doi.org/10.1007/s00586-015-4128-2

Other articles of this Special Issue 1/2016

European Spine Journal 1/2016 Go to the issue