{"id":"738f5b54-9bf0-45c0-bccf-207559170cc5","slug":"a-rare-case-of-intramedullary-schwannoma-at-conus-medullaris-a-case-report-with-review-of-literature","title":"A rare case of intramedullary schwannoma at conus medullaris: A case report with review of literature","authors":["Rahul Varshney","Pranjal Bharadwaj","Ajay Choudhary","Purnima Paliwal","Kaviraj Kaushik"],"abstract":"Background: Intramedullary spinal schwannomas constitute only 0.3% of primary spine tumors. We could identify only 13 such cases involving the conus that were not associated with neurofibromatosis (NF). Here, we report a 70-year-old male without NF who was found to have a paraparesis due to a schwannoma of the thoracolumbar junction/conus (D11-L2). Case Description: A 70-year-old male presented with an L1-level paraparesis with urinary incontinence. The magnetic resonance showed an intramedullary mass of 85 × 10 mm extending from D11 to L2; it demonstrated significant patchy enhancement. The patient underwent a D12 and L1 laminectomy with gross total excision of the mass that proved to be a schwannoma. Three months postoperatively, he was able to ambulate with support, and regained sphincter function. Conclusion: Intramedullary schwannomas involving the conus/thoracolumbar junction are rare, and can be successfully excised resulting in good outcomes.","thumbnailUrl":"https://sni-digital-videos.s3.amazonaws.com/articles/738f5b54-9bf0-45c0-bccf-207559170cc5/featured/hero-cropped-1781562864388.jpg","publishDate":"2020-12-22T00:00:00.000Z","doi":"10.25259/SNI_718_2020","categories":["Spine","Case Report"],"fullTextUrl":"https://surgicalneurologyint.com/wp-content/uploads/2020/12/10479/SNI-11-454.pdf"}