Nervous Discrepancy of Spinal Cord Schwannoma Causing Posterior Neck Swelling: Spinal Cord Schwannoma Causing Posterior Neck Swelling

Soobia Saeed; Rubina Ghani; Zeelaf Shahid; Uzma Naseeb; Ubaid Ahmed Khan

doi:10.54393/pjhs.v5i10.1763

Authors

Soobia Saeed Department of Biological Sciences, Sohail University, Karachi, Pakistan
Rubina Ghani Department of Biochemistry, Jinnah Medical and Dental College/Sohail University, Karachi, Pakistan
Zeelaf Shahid Department of Medical Education, Jinnah Medical and Dental College, Karachi, Pakistan
Uzma Naseeb Department of Biochemistry, Jinnah Sindh Medical University, Karachi, Pakistan
Ubaid Ahmed Khan Department of Anatomy, Jinnah Sindh Medical University, Karachi, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i10.1763

Keywords:

Schwannomas, Laminectomy, Spinal Midline, Cervical, Neurological

Abstract

A 20-year-old man with chronic cervical pain has been diagnosed with cervical spinal schwannomas, a benign tumor in the posterior neck. Objective: To analyze the spinal cord schwannomas causing posterior neck swelling. Methods: In the first step, the vertebral canal portion of the tumor at C4 was removed entirely with a midline approach to the posterior spinal column. The patient underwent a laminectomy procedure in the second surgical session to remove tumors at C2 and C3, resulting in no neurological issues upon discharge from the hospital. Results: Schwannomas was diagnosed histopathologically. In patients with cervical intra-spinal schwannomas that have spread to the extra vertebral paravertebral neck region, the first goal of surgery is to treat the neurological deficits. Conclusions: It was concluded that the posterior midline and laminectomy approach approaches are combined in the same session or at different times in the surgical strategy.

References

Musarhad Mn, Salih Sa, Hussein Sa. A Cross-Sectional Study to Determine the Results of Spinal Tumor Surgery. European Journal of Modern Medicine and Practice. 2024 Aug; 4(8): 324-31.

Miñana SR, Marín AC, Morón EG, Quesada MR, Rapagna AM, Hernández MS et al. Intra-Dural-Extra-medullary and Intramedullary Tumors: Keys to Their Differential Diagnosis and Pathological Correlation. Seram. 2024 May 22; 1(1).

Murphy OC, Salazar-Camelo A, Jimenez JA, Barreras P, Reyes MI, Garcia MA et al. Clinical and MRI Phenotypes of Sarcoidosis-Associated Myelopathy. Neurology: Neuro-immunology & Neuro-inflammation. 2020 Apr; 7(4): e722. doi: 10.1212/NXI.0000000000000722.

Korolishin V and Poluektov YM. Surgical and Combined Tactic for Multi-Level Spinal Cord Tumor Compression in Patients with Neurofibromatosis. In Neurofibromatosis-Diagnosis and Treatments. 2023 Apr. Intech Open.

Arab AA, Eltantawy MH, Elmaghrabi MM. Evaluation of Intra-Dural Extra-Medullary Spinal Tumors Management: Single Institutional Experience. The Egyptian Journal of Hospital Medicine. 2022 Oct; 89(1): 5317-22. doi: 10.21608/ejhm.2022.262323.

Sartika D, Risdianto A, Saputro A, Brotoarianto HK, Priambada D, Muttaqin Z et al. Endoscopic Spine Surgery For Cervicothoracic Spine Neurofibroma: A Case Report. Bali Medical Journal. 2021 Apr; 10(1): 373-6. doi:10.15562/bmj.v10i1.2184.

Kim M, Kim HS, Oh SW, Adsul NM, Singh R, Kashlan ON et al. Evolution of Spinal Endoscopic Surgery. Neurospine. 2019 Mar; 16(1): 6. doi: 10.14245/ns.1836322.161.

Sial M and George KJ. A Review of Spinal Lesions in Neurofibromatosis Type 1 in A Large Neurofibromatosis Type 1 Center. World Neurosurgery. 2023 Jan; 169: e157-63. doi: 10.1016/j.wneu.2022.10.100.

Martínez F, Domínguez-Páez M, Cuadros-Romero M, Moragues R, Nogueras MS, Casales N et al. Peripheral Nerve Tumors: Retrospective Study of 66 Cases. Neurocirugía (English Edition). 2020 May; 31(3): 105-11. doi: 10.1016/j.neucie.2019.12.001.

Lee JH, Kim HS, Yoon YC, Cha MJ, Lee SH, Kim ES. Differentiating Between Spinal Schwannomas and Meningiomas Using MRI: A Focus on Cystic Change. PLos One. 2020 May; 15(5): e0233623. doi: 10.1371/journal.pone.0233623.

Saeed S, Ghani R, Shahid Z. Prevalence of Low Back Pain and Its Associated Factors in an Underdeveloped Country: Pakistan: Prevalence of Low Back Pain in Pakistan. Journal of Health and Rehabilitation Research. 2024 Sep; 4(3): 1-7. doi: 10.61919/jhrr.v4i3.1004.

Elsayed MA, Ibrahim AM, El Darawany MA, Ellabban MA. A Huge Carotid Space Schwannoma Arising from The Cervical Sympathetic Chain-A Case Report. Annals of Maxillofacial Surgery. 2021 Jan; 11(1): 144-7. doi: 10.4103/ams.ams_230_19.

Singh G, Kumar A, Verma PK, Bhaisora KS, Mehrotra A, Srivastava AK et al. C2 Nerve Sheath Tumors: An Analysis of Radiological–Intraoperative Concordance for Intra-Dural Extension and Systematic Review. Journal of Spinal Surgery. 2024 Apr; 11(2): 47-55. doi: 10.4103/joss.joss_9_24.

Chhabra S, More B, Ranade D, Gotecha S, Punia P, Raghu V et al. Clinical Profile, Management and Surgical Outcome of Spinal Cord Tumors. International Surgery Journal. 2021 Sep; 8(10): 3013-8. doi: 10.18203/2349-2902.isj20213986.

Wang L, Yu J, Shu D, Huang B, Wang Y, Zhang L. Primary Endodermal Hemangiopericytoma/Solitary Fibrous Tumor of the Cervical Spine: A Case Report and Literature Review. BioMed Central Surgery. 2021 Dec; 21: 1-7. doi: 10.1186/s12893-021-01399-6.

Palmisciano P, Ferini G, Watanabe G, Conching A, Ogasawara C, Scalia G et al. Surgical Management of Craniovertebral Junction Schwannomas: A Systematic Review. Current Oncology. 2022 Jul; 29(7): 4842-55. doi: 10.3390/curroncol29070384.

Mohammad A, Iqbal MA, Wadhwania A. Schwannomas of the Head and Neck Region: A Report of Two Cases with A Narrative Review of the Literature. Cancer Research, Statistics, and Treatment. 2020 Jul; 3(3): 517-25. doi: 10.4103/CRST.CRST_149_20.

Behuria S, Rout TK, Pattanayak S. Diagnosis and Management of Schwannomas Originating from the Cervical Vagus Nerve. The Annals of the Royal College of Surgeons of England. 2015 Mar; 97(2): 92-7. doi: 10.1308/003588414X14055925058355.

Suárez C, López F, Rodrigo JP, Mendenhall WM, de Bree R, Mäkitie AA et al. Benign Peripheral Non-Cranial Nerve Sheath Tumors of the Neck. Advances in Therapy. 2022 Aug; 39(8): 3449-71. doi: 10.1007/s12325-022-02191-5.

Singh A, von Vogelsang AC, El-Hajj VG, Buwaider A, Fletcher-Sandersjöö A, Pettersson-Segerlind J et al. Health-Related Quality of Life and Return to Work after Surgery for Spinal Schwannoma: A Population-Based Cohort Study. Cancers. 2024 May; 16(10): 1882. doi: 10.3390/cancers16101882.