Spinal Neurofbroma Masquerading as a Herniated Disc A case report
Journal Title: Sultan Qaboos University Medical Journal - Year 2012, Vol 12, Issue 4
Abstract
We present the only case in English medical literature of a spinal neurofbroma misdiagnosed as a herniated disc using magnetic resonance imaging (MRI). Tis case presented with typical symptoms and radiological fndings of a herniated disc. Intraoperatively, an abnormality was noted at the S1 nerve root sleeve. Further exploration revealed a spinal neurofbroma which was completely resected, resulting in an improvement in the patient’s symptoms. Currently, there is heavy reliance on MRI as a highly sensitive and specifc tool used in the diagnosis of herniated lumbar discs. Although there have been occasional reports of misdiagnoses using MRI, there are no reported cases of a spinal neurofbroma being misdiagnosed as a herniated lumbar disc. Despite great advances in radiological diagnostic imaging, surgical surprises do still occur. Ultimately, instinct is still essential in intraoperative surgical decisions.
Authors and Affiliations
Tariq Lamki | Department of Neurological Surgery, Ohio State University, Columbus, Ohio, USA, Mario Ammirati| Department of Neurological Surgery, Ohio State University, Columbus, Ohio, USA
Keywords
Related Articles
- EP ID EP14294
- DOI -
- Views 255
- Downloads 7
Suction Evacuation with Methotrexate as a Successful Treatment Modality for Caesarean Scar Pregnancies Case series
Pregnancy resulting from the implantation of an embryo within a scar of a previous Caesarean section is extremely rare. Te diagnosis and treatment of Caesarean scar pregnancies (CSPs) are challenging and the optimal co...
Bilateral Diaphragmatic Paralysis Following Paediatric Cardiac Surgery Experience of four cases at the Royal Hospital, Muscat, Oman
Bilateral diaphragmatic paralysis (BDP) is a rare complication of paediatric cardiac surgery. We report four children who developed BDP following cardiac surgery who were managed at the Royal Hospital, Muscat, Oman, be...
Effects of Pranayam Breathing on Respiratory Pressures and Sympathovagal Balance of Patients with Chronic Airflow Limitation and in Control Subjects
Objectives: Te objective of this study was to compare the effects of Pranayam breathing on respiratory muscle strength measured as maximum expiratory and inspiratory pressures (MEP and MIP) and relevant spirometry par...
Comparative Diffculties with Non-Scientifc General Vocabulary and Scientifc/Medical Terminology in English as a Second Language (ESL) Medical Students
Objectives: Medical education requires student comprehension of both technical (scientifc/ medical) and non-technical (general) vocabulary. Our experience with “English as a second language†(ESL) Arab students sug...
To Be or Not To Be Exposed to Direct Sunlight Vitamin D Defciency in Oman
Only small amounts of vitamin D come from dietary sources as it is mainly synthesised in the skin from the ultraviolet B (UVB) fraction of sunlight if the person is sufciently exposed to direct sunlight. Vitamin D defc...