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Plexiform neurofibroma of the cauda equina with follow-up of 10 years:A case report

World Journal of Clinical Cases 2022年第14期10卷 4519-4527页

作者： Zilvinas Chomanskis Raimondas Juskys Saulius Cepkus Justyna Dulko Vaiva Hendrixson osvaldas ruksenas Saulius Rocka Department of Neurology and Neurosurgery Institute of Clinical MedicineFaculty of MedicineVilnius UniversityVilnius 03104Lithuania Anatomy Histology and Anthropology DepartmentVilnius UniversityFaculty of MedicineVilnius 03104Lithuania Department of Neurosurgery Republican Vilnius University HospitalVilnius 04130Lithuania Faculty of Medicine Vilnius UniversityVilnius 03104Lithuania Institute of Biomedicine Faculty of MedicineVilnius UniversityVilnius 03104Lithuania Institute of Biosciences Life Sciences CentreVilnius UniversityVilnius 10257Lithuania

BACKGROUND Plexiform neurofibromas are extremely rarely found in the region of cauda equina and can pose a significant challenge in the diagnostic and management *** our knowledge,only 7 cases of cauda equina neurofibromatosis(CENF)have been reported *** SUMMARY We describe a case of a 55-year-old man with a 10 years history of progressive lower extremities weakness and bladder *** presenting,patient was misdiagnosed with idiopathic *** spine MRI revealed a tortuous tumorous masses in the cauda equina region,extending through the Th12-L4 *** patient underwent Th12-L3 Laminectomy with *** the operation,the most enlarged electroneurographically silent nerve root was resected,anticipating inadequate decompression if nerve root was *** patient’s neurological condition improved post-operatively,but urinary retention became the major *** provide a follow-up period of 10 *** this time,the patient’s condition progressively worsened despite extensive *** consequent MRI scans showed progressive enlargement of cauda equina roots and increasing lumbar stenosis,predominantly affecting L3-L4 *** the follow-up 8 years after the operation,the patient complained of worsening lower extremities sensorimotor function and neurogenic *** MRI revealed lumbar spine stenosis at the level of L3-L4,requiring further *** patient underwent a second surgery involving L4-L5 Laminectomy with duraplasty and L2-L5 transpedicular *** post-operative period was *** follow-up 18 mo after the second surgery revealed substantial improvement in patient’s *** CENF should be kept in mind during the differential diagnostic work-up for *** with an extensive decompression,duraplasty and primary spinal fixation represents a rational approach to achieve a sustained symptomatic improvement and s

关键词： Cauda equina Plexiform neurofibroma Neurofibromatosis type I Spine Spinal tumor Case report

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