Abstract
There are many different types of spinal schwannomas including single and multiple (associated or not to neurofibromatosis), cystic, hemorrhagic, melanotic, and malignant. Their location is usually intradural and extramedullary, but some can be found intramedullary, extradural, intra-/extradural, and even intraosseous.
Considering cervical schwannomas, they are most often strictly intradural, but may also be totally or partially extradural (dumbbell tumors) either intraspinal or foraminal or extraspinal. These dumbbell forms are as frequent as 18 % when considering the whole spine, but at the cervical level, they account for 50 % of all schwannomas.
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References
Altas M, Cerci A, Silav G, Sari R, Coskun K, Balak N, Isik N, Elmaci I (2013) Microsurgical management of non-neurofibromatosis spinal schwannoma. Neurocirugia 24:244–249
Celli P, Cervoni L, Tarantino R, Fortuna A (1995) Primary spinal malignant schwannomas: clinical and prognostic remarks. Acta Neurochir 135:52–55
Er U, Kazanci A, Eyriparmak T, Yigitkanli K, Senveli E (2007) Melanotic schwannoma. J Clin Neurosci: Off J Neurosurg Soc Australas 14:676–678
Conti P, Pansini G, Mouchaty H, Capuano C, Conti R (2004) Spinal neurinomas: retrospective analysis and long-term outcome of 179 consecutively operated cases and review of the literature. Surg Neurol 61:34–43; discussion 44
Sachdev S, Dodd RL, Chang SD, Soltys SG, Adler JR, Luxton G, Choi CY, Tupper L, Gibbs IC (2011) Stereotactic radiosurgery yields long-term control for benign intradural, extramedullary spinal tumors. Neurosurgery 69:533–539; discussion 539
Asazuma T, Toyama Y, Maruiwa H, Fujimura Y, Hirabayashi K (2004) Surgical strategy for cervical dumbbell tumors based on a three-dimensional classification. Spine (Phila Pa 1976) 29:E10–E14
Tomii M, Itoh Y, Numazawa S, Watanabe K (2013) Surgical consideration of cervical dumbbell tumors. Acta Neurochir 155:1907–1910
el-Mahdy W, Kane PJ, Powell MP, Crockard HA (1999) Spinal intradural tumours: part I – extramedullary. Br J Neurosurg 13:550–557
Ozawa H, Kokubun S, Aizawa T, Hoshikawa T, Kawahara C (2007) Spinal dumbbell tumors: an analysis of a series of 118 cases. J Neurosurg Spine 7:587–593
Seppala MT, Haltia MJ, Sankila RJ, Jaaskelainen JE, Heiskanen O (1995) Long-term outcome after removal of spinal schwannoma: a clinicopathological study of 187 cases. J Neurosurg 83:621–626
Safavi-Abbasi S, Senoglu M, Theodore N, Workman RK, Gharabaghi A, Feiz-Erfan I, Spetzler RF, Sonntag VK (2008) Microsurgical management of spinal schwannomas: evaluation of 128 cases. J Neurosurg Spine 9:40–47
Gelabert-Gonzalez M, Castro-Bouzas D, Serramito-Garcia R, Santin-Amo JM, Aran-Echabe E, Prieto-Gonzalez A, Allut AG (2011) Tumours of the nerve root sheath in the spine. Rev Neurol 53:390–396
Jinnai T, Koyama T (2005) Clinical characteristics of spinal nerve sheath tumors: analysis of 149 cases. Neurosurgery 56:510–515; discussion 510–515
Hakuba A, Komiyama M, Tsujimoto T, Ahn MS, Nishimura S, Ohta T, Kitano H (1984) Transuncodiscal approach to dumbbell tumors of the cervical spinal canal. J Neurosurg 61:1100–1106
George B, Laurian C, Keravel Y, Cophignon J (1985) Extradural and hourglass cervical neurinomas: the vertebral artery problem. Neurosurgery 16:591–594
Costello F, Kardon RH, Wall M, Kirby P, Ryken T, Lee AG (2002) Papilledema as the presenting manifestation of spinal schwannoma. J Neuroophthalmol: Off J N Am Neuroophthalmol Soc 22:199–203
Kudo H, Tamaki N, Kim S, Shirataki K, Matsumoto S (1987) Intraspinal tumors associated with hydrocephalus. Neurosurgery 21:726–731
Sun H, Tian H (2011) Intraspinal tumors accompanied by hydrocephalus: case report, systematic review, and discussion of treatment strategy. Neurologist 17:342–345
Matsumoto S, Hasuo K, Uchino A, Mizushima A, Furukawa T, Matsuura Y, Fukui M, Masuda K (1993) MRI of intradural-extramedullary spinal neurinomas and meningiomas. Clin Imaging 17:46–52
De Verdelhan O, Haegelen C, Carsin-Nicol B, Riffaud L, Amlashi SF, Brassier G, Carsin M, Morandi X (2005) MR imaging features of spinal schwannomas and meningiomas. J Neuroradiol 32:42–49
Parmar HA, Ibrahim M, Castillo M, Mukherji SK (2007) Pictorial essay: diverse imaging features of spinal schwannomas. J Comput Assist Tomogr 31:329–334
Kufeld M, Wowra B, Muacevic A, Zausinger S, Tonn JC (2012) Radiosurgery of spinal meningiomas and schwannomas. Technol Cancer Res Treat 11:27–34
Raysi Dehcordi S, Marzi S, Ricci A, Di Cola F, Galzio RJ (2012) Less invasive approaches for the treatment of cervical schwannomas: our experience. Eur Spine J 21:887–896
Uede T, Kurokawa Y, Wanibuchi M, Ze PH, Ohtaki M, Hashi K (1996) Surgical approach for cervical dumbbell type neurinoma: posterior approach by partial hemilaminectomy with preservation of a facet joint. No Shinkei Geka Neurol Surg 24:675–679
McCormick PC (1996) Surgical management of dumbbell tumors of the cervical spine. Neurosurgery 38:294–300
Lot G, George B (1997) Cervical neuromas with extradural components: surgical management in a series of 57 patients. Neurosurgery 41:813–820; discussion 820–812
Bruneau M, George B (2011) Surgical technique for the resection of tumors in relation with the V3 and V4 segments of the vertebral artery. In: George B, Bruneau M, Spetzler R (eds) Pathology and surgery around the vertebral artery. Springer, Paris, pp 361–404
George B, Lot G (1995) Neurinomas of the first two cervical nerve roots: a series of 42 cases. J Neurosurg 82:917–923
Nakamura M, Iwanami A, Tsuji O, Hosogane N, Watanabe K, Tsuji T, Ishii K, Toyama Y, Chiba K, Matsumoto M (2013) Long-term surgical outcomes of cervical dumbbell neurinomas. J Orthop Sci: Off J Jpn Orthop Assoc 18:8–13
Celli P (2002) Treatment of relevant nerve roots involved in nerve sheath tumors: removal or preservation? Neurosurgery 51:684–692; discussion 692
Bruneau M, George B (2011) Surgical technique for the resection of tumors in relation with the V1 and V2 segments of the vertebral artery. In: George B, Bruneau M, Spetzler RF (eds) Pathology and surgery around the vertebral artery. Springer, Paris, pp. 165–200
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George, B., Bruneau, M. (2016). Schwannomas of the Cervical Spine. In: van de Kelft, E. (eds) Surgery of the Spine and Spinal Cord. Springer, Cham. https://doi.org/10.1007/978-3-319-27613-7_42
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DOI: https://doi.org/10.1007/978-3-319-27613-7_42
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