tailieunhanh - Báo cáo y học: "Giant thoracic schwannoma presenting with abrupt onset of abdominal pain: a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: TGiant thoracic schwannoma presenting with abrupt onset of abdominal pain: a case report | Journal of Medical Case Reports BioMed Central Open Access Case report Giant thoracic schwannoma presenting with abrupt onset of abdominal pain a case report Isaac Yang Elena Paik Nancy G Huh Andrew T Parsa and Christopher P Ames Address Department of Neurological Surgery University of California San Francisco San Francisco CA 94143 USA Email Isaac Yang - yangi@ Elena Paik - paike@ Nancy G Huh - nanhuh1@ AndrewT Parsa - parsaA@ Christopher P Ames - AmesC@ Corresponding author Published 30 October 2009 Received 24 June 2008 Journal of Medical Case Reports 2009 3 88 doi 1752-1947-3-88 Accepted 30 October 2009 This article is available from http content 3 1 88 2009 Yang et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Introduction Giant intradural extramedullary schwannomas of the thoracic spine are not common. Schwannomas that is tumors derived from neoplastic Schwann cells and neurofibromas represent the most common intradural extramedullary spinal lesions. We report the case of a patient with a giant thoracic schwannoma presenting unusually with acute abdominal pain and with delayed neurological impairment. Case presentation A 26-year-old Hispanic man with no previous medical problems presented with acute periumbilical pain. After extensive work-up including an exploratory laparotomy for appendectomy magnetic resonance imaging scans of the lumbar and thoracic spine revealed a giant intradural extramedullary thoracic schwannoma within the spinal canal posterior to the T9 T10 and Til vertebral bodies. Magnetic resonance imaging signal prolongation was noted in the spinal cord both rostral and caudal to the .