Mobile Schwannoma of the Cauda Equina for Which Intraoperative Myelography Was Useful in Locating  

作　　者：Hiroki Kasama Eiren Toh Joji Mochida Masahiko Watanabe 

机构地区：[1]Department of Orthopaedic Surgery, Tokai University Hachioji Hospital, Tokyo, Japan [2]Yamato Orthopaedic Clinic, Kanagawa, Japan [3]Department of Orthopaedic Surgery, Ebina General Hospital, Kanagawa, Japan [4]Department of Orthopaedic Surgery, Tokai University School of Medicine, Kanagawa, Japan

出　　处：《Surgical Science》2017年第4期184-190,共7页外科学（英文）

摘　　要：We report on a case of a mobile schwannoma of the cauda equina. The patient was a 24-year-old woman who visited our hospital with the chief complaints of low back pain and numbness of the right leg. A tumor was noted from the L2 midbody level to the L3 upper endplate on preoperative MRI and myelogram. During the surgery, a right L2 hemilaminectomy was performed, and the dura was incised, but no tumor was founded in the surgical field, and this was noted as a missing tumor. Intraoperative myelography showed that the tumor had moved to the adjacent vertebra on the caudal side. Myelography applied again to the caudal side of the mobile tumor. Then, the tumor had moved upward, and could be excised without an additional laminectomy.We report on a case of a mobile schwannoma of the cauda equina. The patient was a 24-year-old woman who visited our hospital with the chief complaints of low back pain and numbness of the right leg. A tumor was noted from the L2 midbody level to the L3 upper endplate on preoperative MRI and myelogram. During the surgery, a right L2 hemilaminectomy was performed, and the dura was incised, but no tumor was founded in the surgical field, and this was noted as a missing tumor. Intraoperative myelography showed that the tumor had moved to the adjacent vertebra on the caudal side. Myelography applied again to the caudal side of the mobile tumor. Then, the tumor had moved upward, and could be excised without an additional laminectomy.

关 键 词：MOBILE TUMOR SCHWANNOMA INTRAOPERATIVE MYELOGRAPHY Cauda Equina 

分 类 号：R73[医药卫生—肿瘤]