The Spine Journal 15 (2015) 1897–1898

Very rare reason of neurologic deficit: thoracic cystic schwannoma A 30-year-old man presented to the neurosurgery clinic with a 6-month history of back pain and walking difficulty. There was no history of surgery and trauma. Magnetic resonance imaging (MRI) revealed cystic mass that contained internal septation at T11 level (Figs. 1 and 2). The cystic mass located extramedullary intradural and compressed spinal cord anteriorly. The cystic mass was hyperintense on T2-weighted images and hypointense on T1-weighted images (Fig. 1). The cyst wall and internal septation were enhanced (Figs. 1 and 2). Pathologic specimens obtained at surgery showed schwannoma. Spinal cystic schwannomas are very rare.

Recep Sade, MDa C¸agatay C¸alıkoglu, MDb M€urteza C¸akır, MDb Ihsan Yuce, MDa Hayri Ogul, MDa Mecit Kantarci, MD, PhDa a Department of Radiology Medical Faculty, Ataturk University Erzurum 25040, Turkey b Department of Neurosurgery Medical Faculty Ataturk University Erzurum 25040, Turkey FDA device/drug status: Not applicable. Author disclosures: RS: Nothing to disclose. C¸C¸: Nothing to disclose. MC¸: Nothing to disclose. IY: Nothing to disclose. HO: Nothing to disclose. MK: Nothing to disclose.

Fig. 1. Sagittal T2-weighted (T2W) (Left), fat-saturated T1W (Middle), and contrast-enhanced T1W (Right) thoracic magnetic resonance images of a 30-year-old man. The cystic mass was hyperintense on T2W images and hypointense on T1W images at T11 level. http://dx.doi.org/10.1016/j.spinee.2015.03.045 1529-9430/Ó 2015 Elsevier Inc. All rights reserved.

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R. Sade et al. / The Spine Journal 15 (2015) 1897–1898

Fig. 2. Axial contrast-enhanced T1-weighted thoracic magnetic resonance images of 30-year-old man. The cystic mass located intradural extramedullary and compressed spinal cord (arrow). Cyst wall and internal septation were enhanced.

Very rare reason of neurologic deficit: thoracic cystic schwannoma.

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