Spinal schwannoma

Case contributed by Dr Ammar Haouimi

Presentation

Paraparesis

Patient Data

Age: 30 years
Gender: Female
CT

A large intra-dural extra-medullary dumbbell soft tissue mass, extending through a widened left T8-T9 exit foramen with moderate enhancement and areas of central necrosis. Associated adjacent bony remodeling of the borders of the neuroforamen and dorsal contour of the T8 vertebral body.

MRI

The previously described soft tissue mass shows an iso-intense signal on T1WI and T2WI with central areas of high signal on T2WI. On post-contrast sequences, there is an intense and heterogeneous enhancement. The adjacent segment of the spinal cord is compressed and displaced to the right with no sign of compressive myelopathy.

Case Discussion

MRI features are highly suggestive of a neurogenic tumor, most likely schwannoma.

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Case information

rID: 66193
Published: 11th Feb 2019
Last edited: 16th Feb 2019
Inclusion in quiz mode: Included
Institution: Aurès Medical Imaging Center - Batna Algeria

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