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Intralesional and subarachnoid bleeding of a spinal schwannoma presenting with acute cauda equina syndrome
  1. Mauro Dobran,
  2. Davide Nasi,
  3. Martina Della Costanza and
  4. Francesco Formica
  1. Department of Neurosurgery, Università Politecnica delle Marche, Ancona, Italy
  1. Correspondence to Dr Mauro Dobran, dobran{at}


We present an unusual case of spinal neurinoma with intralesional and subarachnoid bleeding with acute cauda equina syndrome. A 38-year-old man was admitted to our department after a minor thoracic spinal trauma with right lower limb plegia and urinary retention. MRI showed a T11 intradural tumour with intralesional and subarachnoid haemorrhage. The patient was operated of spinal cord decompression and complete tumour resection. The histological examination documented a schwannoma with large haemorrhagic intratumoural areas. A full neurological recovery was documented at 6-month follow-up.

  • neurosurgery
  • spinal Cord
  • neurooncology

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  • Contributors MD, ideator; FF, revisor; MDC, literature investigator; DN, images provider.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Patient consent for publication Obtained.