CASE 191: MEDIC RADIOLOGY CASE 06:TWO CASES of CERVICAL MYELOPATHY and SPINAL SCHWANNOMA, Dr NGÔ TẤN HÙNG, MEDIC MEDICAL CENTER, HCMC, VIETNAM

                      

CASE 1: 47yo M patient, Vinh long province. 6 months with:  Lower extremities weakness and numbness. Neck pain, muscles atrophy. No disturbance in sphincter tone as it related to his bowel or bladder function.Tender reflex (++), Babinski’s sign (++), Hoffmann’s sign (++).

MRI= Intra-and extradural and paravertebral mass of C3.

Microscopic result: Schwannoma of nerve sheath.

CASE 2 : 53yo F patient, Binh thuan province. 4 months with: Right leg weakness. No neck pain. No disturbance in sphincter tone as it related to his bowel or bladder function. Tender reflex (++), Babinski’ s sign (++), Hoffmann’ s sign (++).

MRI= Intra-and extradural mass of C6-7

Microscopic result: Schwannoma of nerve sheath.

DISCUSSIONS:

LOW EXTREMITIS WEAKNESS :  BE CAREFUL WITH CERVICAL SPINAL CORD LESIONS.

CERVICAL MYELOPATHY: A routine neurological examination is important. Complaints involving gait, equilibrium, and /or paresthesias, extremities weakness or numbness. Cervical spine pain is rarely among these complaints. [Bucy PC, Heimburger RF, Oberhill HR. Compression of the cervical spinal cord by herniated intervertebral discs. J Neurosurg.2009].