Successful Cure of Intravertebral Nerve Sheath Tumor

When Ms. Jin talked about her experience in the past ten years, she used the word “catastrophic” to describe it. Ten years ago, Ms. Jin had her right parietal meningioma removed at the Department of Neurosurgery of the First Affiliated Hospital of Chongqing Medical University, and eight years ago, she discovered she had grade 2 hypertension. Eight years ago, she found out that she had grade 2 hypertension, with a blood pressure of up to 160 mmHg, and five years ago she had a myomectomy at a local hospital. But it didn’t end there. Because four years ago, Ms. Jin’s shoulders began to appear paroxysmal pain, no numbness in both lower limbs weakness, in the local hospital physical therapy after the pain and numbness can be relieved. However, one day four months ago, when Ms. Jin squatted down in the bathroom to wash clothes, she obviously felt numbness and weakness in her left lower limb, so she went to Southwest Hospital for treatment, and the MR showed “occupying lesion in thoracic spinal canal: tumor”. The results of this examination made Ms. Jin confused, but Ms. Jin obviously felt that her condition was rapidly aggravating. Out of trust, she came to the Department of Neurosurgery of the First Affiliated Hospital of Chongqing Medical University, where she found the chief physician, Prof. Yan Yi. Professor Yan’s initial diagnosis: thoracic 2/3 intradural nerve sheath tumor; cervical 2/3 disc bulge; cervical 3/4, 4/5 disc herniation (central type); right parietal lobe meningioma after surgery; primary hypertension level 2. Surgery was recommended for 2/3 vertebral level intraspinal nerve sheath meningioma resection. The surgery went well. The big stone in Ms. Jin’s heart finally fell. Prof. Yan introduced: most of the intravertebral nerve sheath tumors have a long course, with the shortest history for those in thoracic segment and longer for those in cervical and lumbar segments, and sometimes the course of the disease can be more than 5 years. The treatment of benign nerve sheath tumor is mainly surgical resection, and the vast majority of cases can be cured by standard posterior laminectomy and total resection of the tumor, and generally recurrence is rare. Malignant nerve sheath tumors require adjuvant radiation therapy after surgical resection.