• 59-year-old gentleman who presented to the emergency room with progressive loss of strength in his lower extremities and inability to walk over a short period of time. He was also was suffering from bowel and urinary incontinence with loss of sensation in his lower extremity and torso.
  
  
• On examination, he had significant weakness in both lower extremities, with numbness up to T7 level. He had no rectal tone.

MRI scan of the patient’s thoracic spine shows a large intradural extramedullary tumor at T7 and T8 level compressing the spinal cord.

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Pathology

The pathology of the tumor proved the diagnosis of spinal schwannoma.

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Post-op Imaging

Before Operation                                     After Operation

Post-op MRI shows complete resection of the tumor.

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Post-op Course

• The patient did well postoperatively with regaining his ability to walk independently using a cane. His bowel and bladder function also returned to near normal function and his numbness was limited to his feet.