ABSTRACT
A rare case of intramedullary neurilemmoma of the spinal cord has been reported. A 23-year-old woman was admitted to our hospital, on 4th July, 1982, because of weakness of legs and difficulty of urination. Neurological examination revealed motor weakness of the both lower extremities with muscle atrophy. Sensory examination showed hypesthesia below the level of L3 dermatome of the right side and of L4 dermatome of the left. All deep tendon reflexes of the lower extremities were abolishes and Lasehue's sign was not appeared. Manometric Queckenstedt's test showed a complete block, with CSF protein of 460 mg/dl. Pantopaque myelogram demonstrated a complete block at the midportion of L1 spine. Total removal of the intramedullary tumor which was located in the dorsal column of the thoracolumbar segment was performed. The tumor was 4.0x1.5x1.0 cm in size and it proved to be an Antoni-A type neurilemmoma histologically. Only 20 similar cases have been published so far and summarized on Table 1, including our case. The relevant literature was reviewed.
Subject(s)
Female , Humans , Young Adult , Hypesthesia , Iophendylate , Leg , Lower Extremity , Muscular Atrophy , Neurilemmoma , Neurologic Examination , Reflex, Stretch , Spinal Cord , Spine , UrinationABSTRACT
A seventeen-year-old boy who had progressive visual disturbance and exophthalomos of the left side for several years, was admitted with complaints of headache and visual disturbance of the right eye. On admission, physical and neurological examinations were normal except remained thoracotomy scar on the right chest for removal of the mediastinal neurilemmoma. Ophthalmological examinations were as follows;Visual acuity was only light perception on the left and 20/40 on the right, exophthalmometry disclosed 17 mm on the left, 12 mm on the right, the fundoscopic examination revealed marked optic atrophy on the left eye. The superior oblique and lateral rectus muscles of the left eye were paralyzed. Plain skull X-ray showed hyperostosis of the anterior clinoid process and lesser wing of the sphenoid bone on the left side. Optic foramen view showed relative normal shape and size of both optic foramina, but marked hyperostosis of the left one was seen. CT scan showed increased density of round tumor mass on the left retrobulbar area and irregular shaped tumor attached to the anterior clinoid process and lesser wing of the sphenoid bone of the left side, which were strongly enhanced by contrast media. The left fronto-temporal craniotomy was performed. The yellowish-brown-colored nodular tumor was found in the parasellar region and lesser wing of the sphenoid bone of the left side. Under the operating microscope, removal of the tumor mass with left optic nerve resection was carried out. Post-operative course was uneventful and discharged on 20 th hospital day after the enucleation of the left eyeball by ophthalmologist.
Subject(s)
Humans , Male , Cicatrix , Contrast Media , Craniotomy , Headache , Hyperostosis , Meningioma , Muscles , Neurilemmoma , Neurologic Examination , Optic Atrophy , Optic Nerve , Skull , Sphenoid Bone , Thoracotomy , Thorax , Tomography, X-Ray ComputedABSTRACT
Occult meningocele is a cystic type of spinal dysraphism derived from developmental fusion defect during early fetal life. It is well known its common, but remarkably less than of myelomeningocele in incidence, combinations with other anormalies. A 11-year-old boy suffering from waddling gait and equinovarus foot deformity for 6 years, is presented. He has not any external protruded mass, hypertrichosis or abnormal pigmentation around his low back. He also has no evidence of neurofibromatosis or enlarged head. Pain spinal films show widening of intervertebral foramina and interpedicular distance, and spina bifida. With myelography using 90ml of Pantopaque, huge ectatic sac accompanying with multiple outpocketings of meninges like stocked tail is well demonstrated. Neurosurgical operation was not indicated. Operation for the correction of the foot deformity were performed by orthopedician.
Subject(s)
Child , Humans , Male , Clubfoot , Foot Deformities , Gait , Head , Hypertrichosis , Incidence , Iophendylate , Meninges , Meningocele , Meningomyelocele , Myelography , Neurofibromatoses , Pigmentation , Spinal Dysraphism , SpineABSTRACT
Occult meningocele is a cystic type of spinal dysraphism derived from developmental fusion defect during early fetal life. It is well known its common, but remarkably less than of myelomeningocele in incidence, combinations with other anormalies. A 11-year-old boy suffering from waddling gait and equinovarus foot deformity for 6 years, is presented. He has not any external protruded mass, hypertrichosis or abnormal pigmentation around his low back. He also has no evidence of neurofibromatosis or enlarged head. Pain spinal films show widening of intervertebral foramina and interpedicular distance, and spina bifida. With myelography using 90ml of Pantopaque, huge ectatic sac accompanying with multiple outpocketings of meninges like stocked tail is well demonstrated. Neurosurgical operation was not indicated. Operation for the correction of the foot deformity were performed by orthopedician.