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Unique challenges in the management of a Giant retroperitoneal Schwannoma associated with vertebral body destruction and spinal canal invasion

Mubarak A. Algahtany, Ahmad M. Almalki, Ismaeel D. Albeshre and Rabab N. Badri
Neurosciences Journal July 2021, 26 (3) 289-294; DOI: https://doi.org/10.17712/nsj.2021.3.20200184

Article Figures & Data

Figures

  • Figure 1
    Figure 1

    - Preoperative CT and MRI scan images demonstrate the extent of the retroperitoneal tumor (single white arrows), L4 destruction (double white arrows), and spinal canal invasion (double black arrows). A-C) Plain CT scan; A) Soft tissue and B) bone window axial images of the abdomen at the L4 pedicle level, C) bone window sagittal image of the lumbar spine. D-F) Contrast-enhanced T1-weighted MRI scan images of the lumbar spine; D) Axial with fat saturation, E) sagittal, and F) coronal.

  • Figure 2
    Figure 2

    - Postoperative 6 months follow-up, plain x-ray A) and CT scan images B-E) demonstrate a good fusion of the cage (double white arrows) and the fibular graft (single white arrows) A-C), as well as total tumor resection and lack of recurrence (D and E). A) standing lateral radiograph of the lumbar spine, B) sagittal, C) coronal bone window images. D) Axial soft tissue window image at the L3 pedicle level, E) at the L4 pedicle level with preoperative control images on the right side.

  • Figure 3
    Figure 3

    - Timeline of the presented case.

  • Figure 4
    Figure 4

    - A flow chart for choosing the most appropriate surgical approach.

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