PT  - JOURNAL ARTICLE
AU  - Mubarak A. Algahtany
AU  - Ahmad M. Almalki
AU  - Ismaeel D. Albeshre
AU  - Rabab N. Badri
TI  - Unique challenges in the management of a Giant retroperitoneal Schwannoma associated with vertebral body destruction and spinal canal invasion
AID  - 10.17712/nsj.2021.3.20200184
DP  - 2021 Jul 01
TA  - Neurosciences Journal
PG  - 289--294
VI  - 26
IP  - 3
4099  - http://nsj.org.sa/content/26/3/289.short
4100  - http://nsj.org.sa/content/26/3/289.full
SO  - Neurosciences (Riyadh)2021 Jul 01; 26
AB  - Retroperitoneal schwannomas are rare, and giant lesions associated with osteolysis are unique clinical entities for which management guidelines are lacking. Herein, we present our experience with treating a large paraspinal retroperitoneal schwannoma, compare it with previously reported cases, highlight the challenges faced with its management, and propose a treatment plan. A 56-year-old female patient presented with back and left leg radicular pains. Contrast-enhanced CT and MRI scanning and histological analysis confirmed the presence of a giant retroperitoneal schwannoma causing near-complete destruction of the fourth lumbar vertebral body and spinal canal invasion. The tumor was totally removed by a two-step operation with no adverse consequences. The patient recovered well and remained in good clinical and radiological status 9 months post-surgery. Therefore, retroperitoneal schwannomas causing bone destruction and spinal canal invasion are best treated through a combined posterior-anterior approach.