A Long Segmental Hemorrhagic Spinal Schwannoma with Atypical Presentation

Huey-Min Yeh ； Joseph-Hang Leung ； Kuo-Chang Huang ； Chun-Liang Tung ； Chun-Lin Huang ； Kou-Mou Huang

《Journal of Radiological Science》 36卷3期 (2011/09) Pp. 48-51

https://doi.org/10.6698/JRS.201109_3603.10

並列摘要

Acute hemorrhagic presentation of spinal schwannoma is an event rarely seen. We had ever reported a 63-year-old male presenting with acute spinal cord compression caused by a long segment of intradural extramedullary schwannoma with hemorrhage and atypical enhancement pattern. The magnetic resonance image findings included a long segmental irregular contour, intermediate signal intensity on T1-weighted images, heterogeneous and foci of low signal intensity on T2-weighled images and segmental enhancement of the lesion, all of which is highly atypical for schwannoma. Emergency surgical decompression was performed and the pathologic results have proved the existence of spinal schwannoma.