腰骶部长节段神经鞘瘤一例报道

One case report of long-segmental lumbosacral neurilemmoma

文章报道1例较少见的腰骶部长节段神经鞘瘤。患者以下肢无力伴尿潴留为主要临床表现,术前腰椎MRI表现为不连续的强化,诊断为腰骶部髓外、硬脊膜内多发性神经鞘瘤。肿瘤经显微手术完整切除,肿瘤长约15cm。术后患者恢复良好。结合文献,对该病例的相关问题进行探讨。

This paper reported a rare case of long-segmental lumbosacral neurilemmoma.The patient experienced weakness of both lower limbs and urinary retention as main clinical manifestations.As the lesions exhibited discrete enhancement on preoperative MRI,the initial diagnosis was made as multiple neurilemmoma.The tumor was resected by microsurgery,and the patient had favourable recovery.On basis of literature review,some issues about this case were discussed.