Cystic lumbar nerve sheath tumours: MRI features in five patients
Hemant Parmar
Department of Radiology, King Edward VII Memorial Hospital and
Search for more papers by this authorDeepak Patkar
Department of Radiology, Balabhai Nanavati Hospital and Research Centers, Mumbai, India
Search for more papers by this authorSameer Gadani
Department of Radiology, Balabhai Nanavati Hospital and Research Centers, Mumbai, India
Search for more papers by this authorJeshil Shah
Department of Radiology, Balabhai Nanavati Hospital and Research Centers, Mumbai, India
Search for more papers by this authorHemant Parmar
Department of Radiology, King Edward VII Memorial Hospital and
Search for more papers by this authorDeepak Patkar
Department of Radiology, Balabhai Nanavati Hospital and Research Centers, Mumbai, India
Search for more papers by this authorSameer Gadani
Department of Radiology, Balabhai Nanavati Hospital and Research Centers, Mumbai, India
Search for more papers by this authorJeshil Shah
Department of Radiology, Balabhai Nanavati Hospital and Research Centers, Mumbai, India
Search for more papers by this authorH Parmar MB BS; D Patkar MD; S Gadani MD; J Shah MD.
SUMMARY
Intraspinal cystic lumbar nerve sheath tumours constitute an uncommon subset of tumours with distinct clinico-biological behaviour. The MRI findings in five such cases are presented. Four of these were cystic schwannomas and one was a cystic neurofibroma. The pathology, MRI findings and the differential diagnosis of these rare tumours are analysed.
REFERENCES
- 1 Bazan C. Imaging of lumbosacral spine neoplasms. Neuroimag Clin North Am 1993; 3: 591–608.
- 2 Shiono T, Yoshikawa K, Iwasaki N. Huge lumbar spinal cystic neurinoma with unusual MR findings. AJNR 1995; 16: 881–2.
- 3 Sakamato M, Harayama K, Furufu T. A case of cystic spinal schwannoma presented unusual clinical findings. Orthopedics 1985; 3: 1185–9.
- 4 Shen WC, Lee SK, Chang CY, Ho WL. Cystic spinal neurilemmoma on magnetic resolution imaging. Neuroradiology 1992; 34: 447–8.
- 5 Burk Jr DL, Brunberg JA, Kanal E, Latchaw FE, Wolf GL. Spinal and paraspinal neurofibromatosis. Radiology 1987; 162: 797–801.
- 6 Nekula J, Vaverka M, Houdek M. Cystic neurinoma in lumbar region. Acta University Palacki Olomuc Fac Med 1986; 115: 175–82.
- 7 Ko SF, Ng SH, Lee TY et al. MR imaging of thoracic neurilemmomas. Magn Reson Imaging 1997; 15: 525–33.DOI: 10.1016/s0730-725x(97)00009-x
- 8 Johnson JG & Stenting JT. Paraspinal schwannoma with cystic appearances on CT. Neuroradiology 1987; 29: 314.
- 9 Gordon S & Michael T. Neoplastic disease of the spine and spinal cord. In: Atlas SW (ed.). Magnetic Resonance Imaging of the Brain and Spine. SW Raven Press Ltd, New York, 1991; 1339–86.
- 10 De Girolam U, Frosch MP, Douglas CA. The central nervous system. In: Schoen FJ (ed.) Robbin’s Pathologic Basis of Disease. WB Saunders Co., Philadelphia, 1994; 1293–357.
- 11 Enzinger FM. In: Harshberger SE (ed.) Soft Tissue Tumors. Mosby, St Louis, 1983; 585–97.
- 12 Catalano P, Fang-Hui E, Som PM. Fluid–fluid levels in benign neurogenic tumors. AJNR 1997; 18: 385–7.
- 13 Kawamura Y & Sze G. Total cystic schwannoma of the tenth cranial nerve mimicking an epidermoid. AJNR 1993; 13: 1333–4.
- 14 Tali ET, Yuh WT, Nguyen HD et al. Cystic acoustic schwannomas: MR characteristics. AJNR 1993; 14: 1241–7.
- 15 Lidov M, Som PM, Stacy C, Catalano P. Eccentric cystic facial schwannoma: CT and MR features. J Comput Assist Tomogr 1991; 15: 1065–7.
- 16 Zagardo MT, Castellani RJ, Rees JH, Rothman MI. Radiologic and pathologic findings of intra-cerebral schwannoma. AJNR 1998; 19: 1290–3.
- 17 Tran-Dinh H, Soo Y, O'Neil P, Chaseling R. Cystic cerebellar schwannoma: case report. Neurosurgery 1991; 29: 296–300.
- 18 Ladouceur D, Bergeron D, Lamarche J, Lamontagne L. Cystic schwannoma of brainstem. J Can Sci Neurol 1989; 16: 357–60.
- 19 Majoie CB, Hulsman FJ, Casteliins JA et al. Primary nerve-sheath tumors of the trigeminal nerve: clinical and MRI findings. Neuroradiology 1999; 41: 100–8.DOI: 10.1007/s002340050713
- 20 Prasad S, Gupta S, Patankar T, Goel A. Fluid–fluid levels in intracranial schwannomas: Report of two cases and review of the literature. Australas Radiol 1999; 43: 529–31.DOI: 10.1046/j.1440-1673.1999.00724.x
- 21 Demachi H, Takashima T, Kadoya M et al. MR imaging of spinal neurinomas with pathological correlation. J Comput Assist Tomogr 1990; 14: 250.
- 22 Suzuki H, Yamaguchi Y, Kimura H, Shiba M, Baba M, Hiroshima K. Malignant mediastinal schwannoma associated with von Recklinghausen’s disease – a resected case. Nippon Kyobu Geke Gakkai Zaoshi 1996; 97: 864–8.
- 23 Cheung GM, Sze G, Abrahams J. Spinal dysraphism. In: Cohen MD, Edwards MK (eds). Magnetic Resonance Imaging of Children. BC Decker Inc., Philadelphia, 1990; 421–62.
- 24 Kriss TC & Kriss VM. Symptomatic spinal intradural arachnoid cyst development after lumbar myelography. Spine 1997; 22: 862–5.DOI: 10.1007/s001340050179
- 25 Islekel S, Zileli M, Erashin Y. Intradural spinal hydatid cysts. Eur Spine J 1998; 7: 162–4.DOI: 10.1007/s005860050048