Download PDF
CC BY-NC-ND 4.0 · Asian J Neurosurg 2022; 17(01): 108-111
DOI: 10.1055/s-0042-1748785
Case Report

Subpial Schwannoma of the Cervical Spinal Cord: A Case Report and Its Intraoperative Finding Supporting a Theory of the Pathogenesis of an Intramedullary Schwannoma

Payothorn Decharin
1   Department of Neurosurgery, Chulabhorn Hospital, Chulabhorn Royal Academy, Bangkok, Thailand
,
Siravich Suvithayasiri
2   Department of Orthopedic Surgery, Spinal Surgery Unit, Chulabhorn Hospital, Chulabhorn Royal Academy, Bangkok, Thailand
,
Padungcharn Nivatpumin
1   Department of Neurosurgery, Chulabhorn Hospital, Chulabhorn Royal Academy, Bangkok, Thailand
,
Warayos Trathitephun
2   Department of Orthopedic Surgery, Spinal Surgery Unit, Chulabhorn Hospital, Chulabhorn Royal Academy, Bangkok, Thailand
› Author Affiliations Funding None.
› Further Information
   Permissions and Reprints

Abstract

Because of its tumor origin from nerve sheath cells (the Schwann cells), the pathogenesis of an extraordinary rare intramedullary schwannoma, which should not have any Schwann's cells in nature, is controversial and still in debate. We report a case of a 63-year-old man diagnosed with a cervical cord intramedullary schwannoma with an interesting intraoperative finding that could support one of the theories on its genesis.

Keywords

subpial schwannoma - intramedullary schwannoma - pathogenesis - cervical cord tumor

Authors' Contributions

P.D. contributed to the concepts, design, definition of intellectual content, literature search, clinical studies, data acquisition, data analysis, manuscript preparation, manuscript editing, manuscript review, and guarantor. S.S. contributed to the concepts, design, definition of intellectual content, literature search, clinical studies, data acquisition, data analysis, manuscript preparation, manuscript editing, manuscript review, and guarantor. P.N. contributed to the concepts, design, definition of intellectual content, literature search, manuscript editing, manuscript review, and guarantor. W.T. contributed to the concepts, design, definition of intellectual content, literature search, manuscript editing, manuscript review, and guarantor.




Publication History

Article published online:
01 June 2022

© 2022. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 

  • References

  • 1 Ottenhausen M, Ntoulias G, Bodhinayake I. et al. Intradural spinal tumors in adults-update on management and outcome. Neurosurg Rev 2019; 42 (02) 371-388
    CrossrefPubMedGoogle Scholar
  • 2 Ross DA, Edwards MS, Wilson CB. Intramedullary neurilemomas of the spinal cord: report of two cases and review of the literature. Neurosurgery 1986; 19 (03) 458-464
    CrossrefPubMedGoogle Scholar
  • 3 Lee DY, Chung CK, Kim HJ. Thoracic intramedullary schwannoma. J Spinal Disord 1999; 12 (02) 174-176
    PubMedGoogle Scholar
  • 4 Riffaud L, Morandi X, Massengo S, Carsin-Nicol B, Heresbach N, Guegan Y. MRI of intramedullary spinal schwannomas: case report and review of the literature. Neuroradiology 2000; 42 (04) 275-279
    CrossrefPubMedGoogle Scholar
  • 5 Kodama Y, Terae S, Hida K, Chu BC, Kaneko K, Miyasaka K. Intramedullary schwannoma of the spinal cord: report of two cases. Neuroradiology 2001; 43 (07) 567-571
    CrossrefPubMedGoogle Scholar
  • 6 Gagnier JJ, Kienle G, Altman DG, Moher D, Sox H, Riley D. CARE Group. The CARE guidelines: consensus-based clinical case report guideline development. J Clin Epidemiol 2014; 67 (01) 46-51
    CrossrefPubMedGoogle Scholar
  • 7 Del Rio-Hortega P, Penfield W. Cytology & Cellular Pathology of the Nervous System. New York, NY: Hoeber Inc.; 1932
    Google Scholar
  • 8 Swiatek VM, Stein KP, Cukaz HB. et al. Spinal intramedullary schwannomas-report of a case and extensive review of the literature. Neurosurg Rev 2021; 44 (04) 1833-1852
    CrossrefPubMedGoogle Scholar
  • 9 Ozawa N, Tashiro T, Okamura T, Koyama K, Ohata K, Inoue Y. Subpial schwannoma of the cervical spinal cord mimicking an intramedullary tumor. Radiat Med 2006; 24 (10) 690-694
    CrossrefPubMedGoogle Scholar
  • 10 Houkin K, Abe H, Iwasaki Y, Tsuru M, Miyasaka K. Spinal sub-pial schwannoma. Case report [in Japanese]. Neurol Med Chir (Tokyo) 1983; 23 (05) 370-374
    CrossrefPubMedGoogle Scholar
  • 11 Kim SD, Nakagawa H, Mizuno J, Inoue T. Thoracic subpial intramedullary schwannoma involving a ventral nerve root: a case report and review of the literature. Surg Neurol 2005; 63 (04) 389-393 , discussion 393
    CrossrefPubMedGoogle Scholar
  • 12 Suematsu Y, Tsuji O, Nagoshi N. et al. Concurrent dorsal subpial schwannoma and ventral meningioma arising at the same upper cervical level: a case report. Spinal Cord Ser Cases 2020; 6 (01) 64
    CrossrefPubMedGoogle Scholar
  • 13 Mason TH, Keigher HA. Intramedullary spinal neurilemmoma: case report. J Neurosurg 1968; 29 (04) 414-416
    CrossrefPubMedGoogle Scholar
  • 14 Rout D, Pillai SM, Radhakrishnan VV. Cervical intramedullary schwannoma. Case report. J Neurosurg 1983; 58 (06) 962-964
    CrossrefPubMedGoogle Scholar
  • 15 Scott M, Bentz R. Intramedullary neurilemmoma (neurinoma) of the thoracic cord. A case report. J Neuropathol Exp Neurol 1962; 21: 194-200
    CrossrefPubMedGoogle Scholar
  • 16 Herrmann HD, Neuss M, Winkler D. Intramedullary spinal cord tumors resected with CO2 laser microsurgical technique: recent experience in fifteen patients. Neurosurgery 1988; 22 (03) 518-522
    CrossrefPubMedGoogle Scholar
  • 17 Roka L. Clinical aspects and pathologic anatomy of tumors of the oblongata and cord in the region of the foramen magna [Article in Undetermined language]. Arch Psychiatr Nervenkr Z Gesamte Neurol Psychiatr 1951; 186 (04) 413-436
    PubMedGoogle Scholar
  • 18 Prakash B, Roy S, Tandon PN. Schwannoma of the brain stem: case report. J Neurosurg 1980; 53 (01) 121-123
    CrossrefPubMedGoogle Scholar
  • 19 Shalit MN, Sandbank U. Cervical intramedullary schwannoma. Surg Neurol 1981; 16 (01) 61-64
    CrossrefPubMedGoogle Scholar