A Distinctive Surgical Strategy for the Removal of a String of Bead-like Schwannomas of Cauda Equina: A Case Report.

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A Distinctive Surgical Strategy for the Removal of a String of Bead-like Schwannomas of Cauda Equina: A Case Report.

World Neurosurg. 2017 Dec 29;:

Authors: Liao D, Zhang J, Li D, Deng X, Ren Q, Chen H

Abstract
BACKGROUND: Spinal schwannomas are the most common intradural extramedullary tumors. However, a string of bead-like schwannomas is rare. In some cases, the bead-like tumors might present a multiple segmental growing pattern, often located in the lumbar spinal canal and on one nerve fiber. Despite its benign nature, the resection of this string of bead-like tumors could be a challenge to neurosurgeons especially when the tumors extend to a very long distance.
CASE DESCRIPTION: A 50-year-old female was admitted to our hospital and her diagnosis was bead-like schwannomas. We performed two small hemilaminectomies and pulled all the tumors out gently. The patient made a full recovery quickly after resection.
CONCLUSIONS: In this case, we first reported a new surgical approach for the removal of a string of bead-like cauda equina schwannomas. We hypothesize that this procedure would be a potential addition to the present surgical methods under some circumstance.

PMID: 29292189 [PubMed - as supplied by publisher]

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