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Published in: World Journal of Surgical Oncology 1/2016

Open Access 01-12-2016 | Case report

Coexistence of intervertebral disc herniation with intradural schwannoma in a lumbar segment: a case report

Authors: Jianjiang Pan, Yue Wang, Yazeng Huang

Published in: World Journal of Surgical Oncology | Issue 1/2016

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Abstract

Background

Lumbar intervertebral disc herniation and spinal tumor are major pathologies that may cause back pain and radiculopathy. Neurological symptoms resulting from disc herniation and intradural spinal tumor together, however, are very rare.

Case presentation

We report a case of lumbar disc herniation which coexists with intradural schwannoma at the same spinal level in a 67-year-old man. The patient presented with persistent low back pain, sciatica, and weakness of the lower limbs. Contrast lumbar spine magnetic resonance (MR) imaging clearly delineated an intradural lesion and an extradural herniated disc at L3/4 level. Using a single posterior approach, both pathologies were addressed. Pathological studies confirmed the intradural lesion was schwannoma.

Conclusion

The case report highlights a rare concomitance of two symptomatic pathologies in a lumbar spine, which deserves clinical attention. Complete history, careful physical examination, and investigative measures, such as contrast MR imaging, are helpful to establish throughout diagnoses. 
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Metadata
Title
Coexistence of intervertebral disc herniation with intradural schwannoma in a lumbar segment: a case report
Authors
Jianjiang Pan
Yue Wang
Yazeng Huang
Publication date
01-12-2016
Publisher
BioMed Central
Published in
World Journal of Surgical Oncology / Issue 1/2016
Electronic ISSN: 1477-7819
DOI
https://doi.org/10.1186/s12957-016-0864-y

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