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Journal of Korean Neurosurgical Society > Volume 28(3); 1999 > Article
Journal of Korean Neurosurgical Society 1999;28(3): 398-401.
Giant Intrasacral Schwannoma.
Hyung Ki Park, Won Han Shin, Bum Tae Kim, Dong Whoa Lee, Bark Jung Byun, Soon Kwan Choi
Department of Neurosurgery and Anatomical Pathology, College of Medicine, Soonchunhyang University, Seoul, Korea.
ABSTRACT
Sacral schwannoma is a rare lesion with a tendency to reach large proportions. The authors report a case of giant intrasacral schwannoma in a 49-year-old man who had persistent lumbago and sciatica over 15 years period. Plain spine X-ray revealed destruction of the sacrum and myelogram demonstrated a complete ampu-tation of the lumbosacral cul-de-sac at the L5/S1 level. CT and MRI showed a destructive mass lesion within the upper part of sacrum with a large mass extending into the presacral space. The patient underwent su rgery consisted of posterior lumbosacral laminectomy and subtotal removal of tumor. Pathologic examination revealed a benign schwannoma. The patient returned to work 1 month postoperatively with improvement of symptoms. Characteristics of this case with a pe rtinent literature are reviewed.
Key Words: Schwannoma; Sacrum; Presacral space; CT; MRI
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