Lumbar radiculopathy associated radicular schwannoma: A case report and literature review

Fjolla Hyseni, MD; Edlira Harizi, MD; Rubén Blanco, MD; Robert Bido, MD; Jessie Pichardo, MD; Masum Rahman, MD; Muhammad Tahir, MD; Ali Guy, PhD; Sawsan Fathma, MD; Kledisa Shemsi, MD; Atiq ur Rehman Bhatti, MD; Fareeha Nasir, MD; Arlind Decka, MD; Samar Ikram, MD; Erisa Kola, MD; Juna Musa, MD, Msc

Radiology Case Reports (Apr 2022)

Lumbar radiculopathy associated radicular schwannoma: A case report and literature review

Fjolla Hyseni, MD,
Edlira Harizi, MD,
Rubén Blanco, MD,
Robert Bido, MD,
Jessie Pichardo, MD,
Masum Rahman, MD,
Muhammad Tahir, MD,
Ali Guy, PhD,
Sawsan Fathma, MD,
Kledisa Shemsi, MD,
Atiq ur Rehman Bhatti, MD,
Fareeha Nasir, MD,
Arlind Decka, MD,
Samar Ikram, MD,
Erisa Kola, MD,
Juna Musa, MD, Msc

Affiliations

Fjolla Hyseni, MD: Medical Reseaercher, NYU Langone Health, New York, NY, USA
Edlira Harizi, MD: Department of Neurology, Regional Hospital Durres, Albania
Rubén Blanco, MD: Centro de Neurología y Neurofisiología de Santiago, Dominican Republic NEUROFIC
Robert Bido, MD: Instituto Materno Infantil y Especialidades Santiago Dominican Republic
Jessie Pichardo, MD: Centro de Neurologia y Neurofisiologia de Santiago, Dominican Republic NEUROFIC
Masum Rahman, MD: Department of Neurological Surgery, Mayo Clinic, Rochester, MN, USA
Muhammad Tahir, MD: Medical officer, General practitioner at Life Care International Hospital, Islamabad
Ali Guy, PhD: Clinical Assistant Professor, Department of Rehabilitation Medicine, NYU Grossman School of Medicine, New York, NY, USA
Sawsan Fathma, MD: Critical Care Research, Department of Anesthesiology, Mayo Clinic, Rochester, MN, USA
Kledisa Shemsi, MD: General practitioner, Regional Hosptal Durres, Durrës, Albania
Atiq ur Rehman Bhatti, MD: Department of Neurosurgery, Mayo Clinic, Rochester, MN, USA
Fareeha Nasir, MD: Internal Medicine Resident, Harlem Hospital Center, New York, NY, USA
Arlind Decka, MD: Department of General Surgery,Westchester Medical Center, Valhalla, New York, NY, USA
Samar Ikram, MD: Department of Neurological Surgery, Mayo Clinic, Rochester, MN, USA
Erisa Kola, MD: Department of Pathology, Regional Hospital, Gjirokaster, Albania
Juna Musa, MD, Msc: Department of Surgery, Mayo Clinic, Rochester, MN, USA; Corresponding author.

Journal volume & issue: Vol. 17, no. 4
pp. 1251 – 1255

Abstract

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Lumbar radiculopathy is a clinical condition defined by symptoms of pain, weakness, numbness, or tingling due to lumbar nerve root compression in levels L1-L4. Typically, it is characterized by a narrowing near the nerve root possibly caused by stenosis, bone osteophytes, disc herniation, and similar conditions. Reports of lumbar radiculopathy brought about by the presence of a radicular schwannoma are exceedingly rare. In this paper, we discuss the case of a 67-year-old female patient, presenting with complaints of low back pain, numbness, and antalgic gait for the past eight months. Her physical examination revealed motor and sensor neurological deficits affecting the left lower limb. The electromyoneurography evaluation showed neurogenic atrophy of the left radicular area, while the MRI revealed the presence of a giant, radicular schwannoma at L4-L5 level. This case report aims to underscore the clinical course and management of lumbar radiculopathy caused by a rare L4-L5 radicular schwannoma. Our patient had no significant risk factors or previous spinal pathology.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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