Ancient schwannoma of thoracic spine in a schizophrenic patient with somatic delusion

Ancient schwannoma is a rare variant of schwannoma characterized by histopathologic degenerative changes, which are thought to be the result of long-term tumor growth and aging. However, ancient schwannoma in the spinal canal is particularly rare. We report a case of thoracic spine intradural extram...

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Main Authors: Ya-Ting Wen, Li Wei, Tai-Ngar Lui
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2016-03-01
Series:Journal of Cancer Research and Practice
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2311300615000038
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author Ya-Ting Wen
Li Wei
Tai-Ngar Lui
author_facet Ya-Ting Wen
Li Wei
Tai-Ngar Lui
author_sort Ya-Ting Wen
collection DOAJ
description Ancient schwannoma is a rare variant of schwannoma characterized by histopathologic degenerative changes, which are thought to be the result of long-term tumor growth and aging. However, ancient schwannoma in the spinal canal is particularly rare. We report a case of thoracic spine intradural extramedullary ancient schwannoma in a schizophrenic patient, who kept saying that “something in his back was giving him electric shock” for a long time. Unfortunately, this complaint was misinterpreted as somatic delusion symptoms. A spinal cord tumor was taken into consideration only after paraparesis developed. We have highlighted this case to remind every clinician to remain alert about the possibility of organic disease while treating patients with psychotic disorder history. Thorough neurological examination is required to avoid misdiagnosis. Spinal canal schwannoma can be totally removed successfully with good functional outcome and prognosis.
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spelling doaj.art-1609b5118ed04e5da4162714a7a1cd7f2022-12-21T19:38:11ZengWolters Kluwer Medknow PublicationsJournal of Cancer Research and Practice2311-30062016-03-0131192210.1016/j.jcrpr.2015.10.002Ancient schwannoma of thoracic spine in a schizophrenic patient with somatic delusionYa-Ting WenLi WeiTai-Ngar LuiAncient schwannoma is a rare variant of schwannoma characterized by histopathologic degenerative changes, which are thought to be the result of long-term tumor growth and aging. However, ancient schwannoma in the spinal canal is particularly rare. We report a case of thoracic spine intradural extramedullary ancient schwannoma in a schizophrenic patient, who kept saying that “something in his back was giving him electric shock” for a long time. Unfortunately, this complaint was misinterpreted as somatic delusion symptoms. A spinal cord tumor was taken into consideration only after paraparesis developed. We have highlighted this case to remind every clinician to remain alert about the possibility of organic disease while treating patients with psychotic disorder history. Thorough neurological examination is required to avoid misdiagnosis. Spinal canal schwannoma can be totally removed successfully with good functional outcome and prognosis.http://www.sciencedirect.com/science/article/pii/S2311300615000038SchwannomaAncient schwannomaSomatic delusion
spellingShingle Ya-Ting Wen
Li Wei
Tai-Ngar Lui
Ancient schwannoma of thoracic spine in a schizophrenic patient with somatic delusion
Journal of Cancer Research and Practice
Schwannoma
Ancient schwannoma
Somatic delusion
title Ancient schwannoma of thoracic spine in a schizophrenic patient with somatic delusion
title_full Ancient schwannoma of thoracic spine in a schizophrenic patient with somatic delusion
title_fullStr Ancient schwannoma of thoracic spine in a schizophrenic patient with somatic delusion
title_full_unstemmed Ancient schwannoma of thoracic spine in a schizophrenic patient with somatic delusion
title_short Ancient schwannoma of thoracic spine in a schizophrenic patient with somatic delusion
title_sort ancient schwannoma of thoracic spine in a schizophrenic patient with somatic delusion
topic Schwannoma
Ancient schwannoma
Somatic delusion
url http://www.sciencedirect.com/science/article/pii/S2311300615000038
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