Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지
DOI QR코드

DOI QR Code

Spinal Intraosseous Schwannoma : A Case Report and Review

  • Park, Seong-Cheol (Department of Neurosurgery, Seoul National University Bundnng Hospital, Seoul National University College of Medicine) ;
  • Chung, Sang-Ki (Department of Neurosurgery, Seoul National University Bundnng Hospital, Seoul National University College of Medicine) ;
  • Choe, Ghee-Young (Department of Pathology, Seoul National University Bundnng Hospital, Seoul National University College of Medicine) ;
  • Kim, Hyun-Jib (Department of Neurosurgery, Seoul National University Bundnng Hospital, Seoul National University College of Medicine)
  • Published : 2009.10.28
Download PDF
⟨ Previous Next ⟩

Abstract

A case of spinal intraosseous schwannoma (SIS) in the lumbar vertebra is reported. Clinical and radiologic characteristics of 16 reported cases of SIS were reviewed. SIS can be a rare differential diagnosis for intraosseous tumors.

Keywords

References

  1. Argenyi ZB, Balogh K, Abraham AA : Degenerative ('ancient') changes in benign cutaneous schwannoma. A light microscopic, histochemical and immunohistochemical study. J Cutan Pathol 20 : 148-153, 1993 https://doi.org/10.1111/j.1600-0560.1993.tb00232.x
  2. Barnowsky L, Dalal R : Extradural schwannoma manifested as an expansile vertebral lesion. AJR Am J Roentgenol 159 : 1352-1353, 1992 https://doi.org/10.2214/ajr.159.6.1442424
  3. Celli P, Trill$\grave{o}$ G, Ferrante L : Spinal extradural schwannoma. J Neurosurg Spine 2 : 447-456, 2005 https://doi.org/10.3171/spi.2005.2.4.0447
  4. Chang CJ, Huang JS, Wang YC, Huang SH : Intraosseous schwannoma of the fourth lumbar vertebra : case report. Neurosurgery 43 : 1219-1222, 1998 https://doi.org/10.1097/00006123-199811000-00120
  5. Choudry Q, Younis F, Smith RB : Intraosseous schwannoma of D12 thoracic vertebra : diagnosis and surgical management with 5-year follow-up. Eur Spine J 16 Suppl 3 : 283-286, 2007
  6. Cohen DM, Dahlin DC, Maccarty CS : Apparently solitary tumors of the vertebral column. Mayo Clin Proc 39 : 509-528, 1964
  7. Conti P, Pansini G, Mouchaty H, Capuano C, Conti R : 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, 2004 https://doi.org/10.1016/S0090-3019(03)00537-8
  8. Dickson JH, Waltz TA, Fechner RE : Intraosseous neurilemoma of the third lumbar vertebra. J Bone Joint Surg Am 53 : 349-355, 1971
  9. Fawcett KJ, Dahlin DC : Neurilemmoma of bone. Am J Clin Pathol 47 : 759-766, 1967
  10. Gnanalingham K, Bhattacharjee S, O'Neill K : Intraosseous malignant peripheral nerve sheath tumor (MPNST) of the thoracic spine : a rare cause of spinal cord compression. Spine (Phila Pa 1976) 29 : E402- E405, 2004 https://doi.org/10.1097/01.brs.0000138410.28657.ee
  11. Gupta SP, Agarwal A : Intraosseous neurilemmoma of L2 vertebra--a case report. Indian J Pathol Microbiol 48 : 367-369, 2005
  12. Huang YF, Kuo WR, Tsai KB : Ancient schwannoma of the infratemporal fossa. J Otolaryngol 31 : 236-238, 2002 https://doi.org/10.2310/7070.2002.21156
  13. Hughes MJ, Thomas JM, Fisher C, Moskovic EC : Imaging features of retroperitoneal and pelvic schwannomas. Clin Radiol 60 : 886-893, 2005 https://doi.org/10.1016/j.crad.2005.01.016
  14. Inaoka T, Takahashi K, Hanaoka H, Aburano R, Tokusashi Y, Matsuno T, et al. : Paravertebral neurinoma associated with aggressive intravertebral extension. Skeletal Radiol 30 : 286-289, 2001 https://doi.org/10.1007/s002560100327
  15. Isobe K, Shimizu T, Akahane T, Kato H : Imaging of ancient schwannoma. AJR Am J Roentgenol 183 : 331-336, 2004 https://doi.org/10.2214/ajr.183.2.1830331
  16. Khan RJ, Asgher J, Sohail MT, Chughtai AS : Primary intraosseous malignant peripheral nerve sheath tumor : a case report and review of the literature. Pathology 30 : 237-241, 1998 https://doi.org/10.1080/00313029800169376
  17. Klijanienko J, Caillaud JM, Lagac$\acute{e}$ R : Cytohistologic correlations in schwannomas (neurilemmomas), including 'ancient,' cellular, and epithelioid variants. Diagn Cytopathol 34 : 517-522, 2006 https://doi.org/10.1002/dc.20320
  18. Knapp TR, Struk DW, Munk PL, Bainbridge TC, Bhimji SD, Poon PY : Tumour of a peripheral nerve sheath with invasion of the lumbar spine. Can Assoc Radiol J 45 : 469-472, 1994
  19. Ko SF, Lee TY, Lin JW, Ng SH, Chen WJ, Hsieh MJ, et al. : Thoracic neurilemomas : an analysis of computed tomography findings in 36 patients. J Thorac Imaging 13 : 21-26, 1998 https://doi.org/10.1097/00005382-199801000-00007
  20. Mikami Y, Hidaka T, Akisada T, Takemoto T, Irei I, Manabe T : Malignant peripheral nerve sheath tumor arising in benign ancient schwannoma : a case report with an immunohistochemical study. Pathol Int 50 : 156-161, 2000 https://doi.org/10.1046/j.1440-1827.2000.01019.x
  21. Miyakoshi N, Nishikawa Y, Shimada Y, Okada K, Yoshida M, Enomoto K, et al. : Intraosseous malignant peripheral nerve sheath tumor with focal epithelioid differentiation of the thoracic spine. Neurol India 55 : 64-66, 2007 https://doi.org/10.4103/0028-3886.30431
  22. Naidu MR, Dinakar I, Rao KS, Ratnakar KS : Intraosseous schwannoma of the cervical spine associated with skeletal fluorosis. Clin Neurol Neurosurg 90 : 257-260, 1988 https://doi.org/10.1016/0303-8467(88)90033-9
  23. Nannapaneni R, Sinar EJ : Intraosseous schwannoma of the cervical spine. Br J Neurosurg 19 : 244-247, 2005 https://doi.org/10.1080/02688690500207546
  24. Nooraie H, Taghipour M, Arasteh MM, Daneshbod K, Erfanie MA : Intraosseous schwannoma of T12 with burst fracture of L1. Arch Orthop Trauma Surg 116 : 440-442, 1997 https://doi.org/10.1007/BF00434011
  25. Park BW, Cho HL, Park DB, Shin KM, Chee SH : Intradural spinal schwannoma: case report. J Korean Neurosurg Soc 9 : 311-316, 1980
  26. Polkey CE : Intraosseous neurilemmoma of the cervical spine causing paraparesis and treated by resection and grafting. J Neurol Neurosurg Psychiatry 38 : 776-781, 1975 https://doi.org/10.1136/jnnp.38.8.776
  27. Rasbridge SA, Browse NL, Tighe JR, Fletcher CD : Malignant nerve sheath tumour arising in a benign ancient schwannoma. Histopathology 14 : 525-528, 1989 https://doi.org/10.1111/j.1365-2559.1989.tb02189.x
  28. Schultz E, Sapan MR, McHeffey-Atkinson B, Naidich JB, Arlen M : Case report 872. 'Ancient' schwannoma (degenerated neurilemoma). Skeletal Radiol 23 : 593-595, 1994
  29. Singrakhia MD, Parmar H, Maheshwari M, Fehlings M : Cervical schwannoma presenting as an expansile vertebral body lesion : report of two cases with a technical note on the surgical management. Surg Neurol 66 : 192-196; discussion 196, 2006 https://doi.org/10.1016/j.surneu.2005.11.057
  30. Sridhar K, Ramamurthi R, Vasudevan MC, Ramamurthi B : Giant invasive spinal schwannomas : definition and surgical management. J Neurosurg 94 : 210-215, 2001
  31. Steinmetz MP, Krishnaney A, Boulis NM, Benzel EC : An invasion of the atlas. Neurosurgery 60 : 1083-1087; discussion 1087-1088, 2007
  32. Takeyama M, Koshino T, Nakazawa A, Nitto H, Nakamura J, Saito T : Giant intrasacral cellular schwannoma treated with high sacral amputation. Spine (Phila Pa 1976) 26 : E216-E219, 2001 https://doi.org/10.1097/00007632-200105150-00025
  33. Turk PS, Peters N, Libbey NP, Wanebo HJ : Diagnosis and management of giant intrasacral schwannoma. Cancer 70 : 2650-2657, 1992 https://doi.org/10.1002/1097-0142(19921201)70:11<2650::AID-CNCR2820701114>3.0.CO;2-1
  34. White W, Shiu MH, Rosenblum MK, Erlandson RA, Woodruff JM : Cellular schwannoma. A clinicopathologic study of 57 patients and 58 tumors. Cancer 66 : 1266-1275, 1990 https://doi.org/10.1002/1097-0142(19900915)66:6<1266::AID-CNCR2820660628>3.0.CO;2-E
  35. Woodruff JM, Godwin TA, Erlandson RA, Susin M, Martini N : Cellular schwannoma : a variety of schwannoma sometimes mistaken for a malignant tumor. Am J Surg Pathol 5 : 733-744, 1981 https://doi.org/10.1097/00000478-198112000-00001

Cited by

  1. Management of Thoracal and Lumbar Schwannomas Using a Unilateral Approach without Instability: An Analysis of 15 Cases vol.6, pp.1, 2009, https://doi.org/10.4184/asj.2012.6.1.43
  2. Spinal Cord Compression Revealing an Intraosseous Schwannoma vol.2013, pp.None, 2009, https://doi.org/10.1155/2013/913218
  3. The fate of spinal schwannomas following subtotal resection: a retrospective multicenter study by the Korea spinal oncology research group vol.114, pp.3, 2009, https://doi.org/10.1007/s11060-013-1190-7
  4. Minimally Invasive Resection of an Extradural Far Lateral Lumbar Schwannoma with Zygapophyseal Joint Sparing: Surgical Nuances and Literature Review vol.2014, pp.None, 2014, https://doi.org/10.1155/2014/739862
  5. An Extremely Giant Lumbar Schwannoma: New Classification (Kotil) and Mini-Open Microsurgical Resection vol.8, pp.4, 2014, https://doi.org/10.4184/asj.2014.8.4.506
  6. Treatment of large thoracic and lumbar paraspinal schwannoma vol.157, pp.3, 2009, https://doi.org/10.1007/s00701-014-2320-5
  7. Two Case Reports and an Updated Review of Spinal Intraosseous Schwannoma vol.57, pp.6, 2009, https://doi.org/10.3340/jkns.2015.57.6.478
  8. One-Step Posterior and Anterior Combined Approach for L5 Retroperitoneal Schwannoma Eroding a Lumbar Vertebra vol.2016, pp.None, 2009, https://doi.org/10.1155/2016/1876765
  9. Intraosseous schwannoma of the mobile spine: a report of twenty cases vol.27, pp.12, 2009, https://doi.org/10.1007/s00586-018-5766-y
  10. Giant Lumbar Dumbbell Extradural Schwannoma in a Child vol.14, pp.2, 2019, https://doi.org/10.4103/ajns.ajns_132_18
  11. Spinal intraosseous schwannoma without spinal canal and neuroforamina involvement: A case report vol.8, pp.7, 2009, https://doi.org/10.12998/wjcc.v8.i7.1271
  12. First-ever intraosseous ancient schwannoma of the proximal ulna successfully treated using the cement technique vol.49, pp.2, 2009, https://doi.org/10.1177/0300060520987732