Spinal cord neurinoma is a benign tumor of the nerve roots of the spinal column, formed from Schwann cells.
In most cases, it is diagnosed in middle-aged women, less common in children and men.
The increase occurs over a long period of time, the size of the tumor reaches 2,5 kg. Most often, the cervicothoracic region, less often the lumbar, is affected.
Important! The disease provokes a change in the structure of bones, compression of the nerve endings, a violation of the sensitivity of the limbs, malfunctions in the internal organs and systems.
In addition to the nerve roots of the spinal cord, neuromas are localized in the plantar and auditory nerves.
- Causes of the disease
- Clinical signs
- How to treat spinal neuroma
- Recommendations to the patient
- Neurinoma on the spine
- Spinal Neuroma Removal
- Signs and treatment of spinal neuroma
- Localization and symptoms
- Prognosis and prevention
- Thoracic and lumbar spine neurinoma: causes, symptoms and treatment
- Which doctor treats neuroma?
- Disease treatment methods
- Radiosurgical method
- Traditional methods of treatment
- Possible complications
Causes of the disease
The reasons for the formation of Schwann cells in the spinal column have not yet been scientifically explained. There are suggestions of a hereditary mutation of the genotype, which generates abnormal development of nerve cells.
The formation of Schwann cells in adulthood can be affected by adverse environmental conditions of a person, radiation exposure, and the use of steroid drugs.
The patient for a long time may not notice the manifestations of neurinoma until the neoplasm has reached significant size.
The symptoms of neuroma of the spine that have occurred indicate the progression of the tumor and are a signal for the immediate start of treatment.
The pressure of the tumor on the nerve roots is manifested by the following symptoms:
- back pain (in the area of tumor localization);
- pain and numbness of the limbs;
- loss of motor ability of the spine below the lesion;
- violation of the reproductive, digestive and excretory systems.
The sooner the symptoms are noticed and the correct diagnosis is made, the more chances there are for a full restoration of the patient’s disability.
How to treat spinal neuroma
There are several ways to eliminate Schwann cells: operational, radio wave, and medication.
Treatment of neuroma of the spine without surgery can reduce the risk of complications that often occur when performing operations on the spine.
Radiosurgery removes the tumor without surgery. This not only eliminates the risks of surgical intervention, but also shortens the rehabilitation period. The tumor is removed by radionuclide irradiation of the affected area without harm to the spinal cord.
Neurinoma of the cervical spine is often diagnosed at an early stage of development and is stopped with medication.
Drug therapy is indicated for the diagnosis of a small tumor and the presence of contraindications for surgery. Taking glucocorticosteroids, muscle relaxants and diuretics can slow down the growth of neuromas and eliminate the symptoms of compression of the nerve roots.
At the late stages of diagnosis of neurinoma of the lumbar or cervicothoracic spine undergoes surgical treatment in the absence of contraindications.
During the operation, the surgeon performs a partial resection with a small amount of schwannoma, eliminating the compression of the spinal nerves.
Or, the complete removal of schwannoma – removes the tumor along with the capsule without damaging the spinal cord and nerve endings.
As a result of the operation, a person loses the consequences of a spinal cord tumor. The risk of relapse is negligible.
The rehabilitation period after surgery is 6-12 months.
Recommendations to the patient
Diseases affecting the central nervous system should not be subjected to any means of self-healing. At the first symptoms of a tumor, you should seek a reliable assessment and diagnosis from a doctor.
Treatment of neuroma of the spine with folk remedies is strictly prohibited! Compression of the spinal nerves leads to disability, paresis and disability in the absence of medical care.
If there are contraindications to surgical intervention, the patient will be presented with alternative methods of eliminating the tumor (radiosurgery) or slowing its development with steroid drugs. In the absence of pathologies preventing the operation, it is recommended to remove the neuroma along with the capsule.
Preventive recommendations are to comply with the rules of a healthy lifestyle:
- good nutrition;
- additional intake of vitamins and minerals in adulthood and with increased loads;
- regular diagnosis of one’s state of health;
- prevention of spinal column injuries;
- active physical activity (yoga, swimming, exercises on simulators, functional training, exercise therapy);
- the exclusion of increased axial loads on the spine, hypothermia, stress;
- giving up drugs and smoking.
TIP! It is important to find out the history of their illnesses from close relatives and exclude the risk of hereditary pathologies, as well as to observe the lifestyle of the household and their health. Draw conclusions and take appropriate preventive measures.
Neuroma of the spine does not endanger the health of the patient in itself. The Schwann cells from which the tumor is formed are benign biological material. The consequences of an increase in the tumor in the vertebral capsule are fraught with damage to the central nervous system, limitation of the motor function of the limbs, and inhibition of the internal systems of the body.
If symptoms of schwannoma are detected, treatment should be started immediately, the methods and duration of which will be determined by the attending physician.
Neurinoma on the spine
Neuroma is a benign tumor on Schwann cells. Schwann cells are cells that make up the nervous tissue, creating a framework for neurons and nourishing them. The tumor can develop on any nerves: peripheral, cranial, cerebrospinal. Among all diseases of the spine, neurinoma occurs in 20% of cases.
Neurinoma on the spine is formed in the area of the spinal roots, the tumor is benign, grows for many years and does not cause any symptoms for quite some time. Despite the benignness, the tumor can cause severe pain in the back, as well as degenerate into a malignant formation.
Neurinoma, or schwannoma, has a gender difference: it mainly occurs in women of mature age. The most commonly affected cervical and thoracic spine.
The clinical picture of the disease can mask any other pathological processes in the spine, which is why the diagnosis of neurinoma is so complicated. The most characteristic symptoms:
- Pain at the site of tumor formation;
- Pain can be given along the entire spine;
- Violations of the sensitivity of those areas that the affected root innervates;
- Hearing impairment;
- Noise in ears;
- Dizziness and headache;
- Visual impairment;
- In advanced cases, pelvic disorders can join.
From the above symptoms, it is clear that there is not a single manifestation that would reliably indicate that neurinoma develops on the spine. Therefore, if you develop any of these symptoms, you can contact the Open Clinic to conduct an examination and make the correct diagnosis.
Spinal Neuroma Removal
Therapeutic tactics for diagnosed neurinoma may vary depending on:
- Stages of the development of the disease;
- The size of the neurinoma;
- Growth rate;
- The severity of clinical symptoms;
- Places of education.
Whether to use a wait-and-see tactic, or to carry out the removal of neuroma of the spine – this is the doctor’s decision, which takes into account many different indicators. In any case, medication is prescribed that slows the growth of the tumor, regular examinations are conducted to evaluate the effectiveness of the therapy. However, it should be clearly understood that the only effective treatment tactic is surgery.
|Service||Time min||Cost, rub.|
|Microsurgical removal of uncomplicated intradural extramedullary spinal tumors||180||120 000|
Shishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.
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Surgery to remove neuroma of the spine is the only treatment. The most common variant is uncomplicated neuroma, in which the dura mater is not affected, the tumor is surrounded by a dense capsule. In this case, the surgeon performs an excision of the tumor in a single unit.
The operation is best carried out using microsurgical equipment: an operating microscope, a navigation device and microsurgical instruments. In this case, the risk of complications after surgery is minimized, and the rehabilitation period is very short.
If the tumor is large, soldered to the dura mater or penetrates the spinal cord, in this case, the use of microsurgical technique is mandatory. With such operations, the doctor preserves part of the tumor, but at the same time, clinical manifestations are reduced and neurological disorders are regressed.
Sometimes it is possible to use a treatment method such as radiosurgery. With this approach, the tumor itself is not removed, but the effect of ionizing radiation is produced, with the help of which the size of the neurinoma is reduced.
In some cases, you can limit yourself to “waiting tactics” – to observe how quickly the neuroma grows, and then draw a conclusion about the need for the operation and its timing
A timely visit to a specialist will allow you to identify neuroma at an early stage of development, conduct a radical operation to completely remove the neuroma and avoid the risks associated with its further growth, compression of a healthy spinal cord or its roots by a tumor and, accordingly, more complicated surgery in the future.
Why should you come to us?
- Our operating unit is equipped with microsurgical equipment that minimizes the risks of complications;
- Thanks to the most advanced ventilator, the anesthesiologist monitors the operation progress as objectively as possible;
- Neurosurgeons are allowed before surgery only after passing monthly certifications of professional knowledge;
- At the rehabilitation stage, we use effective postoperative therapy.
Signs and treatment of spinal neuroma
Spinal neuroma is a common type of tumor that forms from nerve cells. The disease proceeds in a benign form. A neoplasm can develop in different parts of the spinal column.
The following phenomena are predisposing factors for the development of spinal neurinoma:
- Genetic predisposition.
- Diseases of the spinal column.
- The effect of radiation on the body.
- Other neoplasms in the spine that put pressure on the nerve endings.
- Excessive stress on the spinal column.
Neurinoma can occur at any age, but most often it still affects the elderly.
Localization and symptoms
Neurinoma can affect the chest, cervical or lumbar. In this case, the tumor can appear not only in one part of the spinal column, but also in several places at once.
Symptoms of growth do not appear immediately. It may take several years before the patient feels the first signs. With the growth of the tumor, the following manifestations are possible:
- Pain of a sharp nature, which is able to give to the neck, shoulders.
- Muscle weakness.
- Decreased motor activity.
- Disorders of the urinary organs.
- Spontaneous emptying of the bladder or intestines.
- Numbness of the skin.
- Decreased skin sensitivity.
If the pathology is neglected, there is a risk of paralysis of the lower extremities or even the whole body.
A comprehensive examination is required to identify neuromas of the cervical spine or another part thereof. It includes the following activities:
- External examination by a doctor.
- Magnetic resonance imaging.
- CT scan.
- Ultrasound procedure.
Puncture of the neoplasm is also carried out with subsequent histological examination.
Treatment of neurinoma of the spine is carried out by different methods. At the initial stage, exposure is possible in a conservative way. To do this, use special medications that help inhibit the growth of the tumor.
As a radical therapy, surgical treatment is prescribed. It is performed by various methods. The first is classic, when an incision is made in the affected area and the tumor is removed. Such removal is most often performed using endoscopic instruments.
Also, neurinoma of the thoracic spine can be removed by the radio wave method. This method is suitable for small tumors – not more than 3 cm. Most often it is prescribed if the patient has contraindications to classical surgery.
With radio wave treatment, the pathological focus is affected by ionizing rays that destroy the tumor cells. An intervention is performed under local anesthesia.
Traditional medicine in the treatment of neurinoma does not have a strong therapeutic effect, but its means can help eliminate the disturbing symptoms. Before using home methods, you should consult your doctor.
Prognosis and prevention
To prevent the development of neuroma of the lumbar spine or its other part there is no special set of measures. You can reduce the risk of pathology by observing the following recommendations from doctors:
- Maintaining a healthy lifestyle.
- Doing sports.
- Avoidance of increased stress on the spine.
- Living in an environment with favorable environmental conditions.
- Timely elimination of inflammatory and other lesions of the spinal column.
- Avoidance of vertebral trauma.
The prognosis for neuroma of the spine is good. The disease proceeds in a benign form. But nevertheless, the faster treatment is started, the better, because in a severe form, a tumor can adversely affect the functioning of the musculoskeletal system. Therefore, if signs of pathology occur, you need to visit a doctor. He will conduct an examination and, if a neoplasm is detected, he will explain in detail what spinal neuroma is and how to cope with it. To detect the disease at an early stage, it is recommended to regularly check the spinal column for pathological changes.
Thoracic and lumbar spine neurinoma: causes, symptoms and treatment
Neurilemmoma requires compulsory medical intervention. Otherwise, it will progress rapidly, which sooner or later will lead to severe damage to the vertebrae and bones, or even more dangerous consequences.
Schwannoma is divided into 3 types:
- Neuromas of the cervical spine.
- Schwannomas of the thoracic region.
- Neuroma of the lower back, when the tumor is localized in the lower (lumbar) segment of the ridge – in the region of the sacral vertebrae.
If neuroma of the thoracic spine – like the cervical – is common, then lumbar schwannoma is a rare, but no less dangerous phenomenon. Therefore, the sooner the disease is detected, the more favorable the prognosis for recovery will be.
Schwannoma is a benign tumor that has an irregular, sometimes oval, and dense texture. It is covered with a fibrous or connective tissue membrane and is prone to malignancy.
Spinal neuroma can develop due to:
- adverse heredity;
- radiation exposure;
- spinal injury due to which nerve endings were damaged.
Neurilemma develops very slowly, but it is able to reach large sizes. In severe cases, the tumor can weigh from 2 to 5 kilograms and extend beyond the spine.
At the initial stages of development, the symptoms of neurinoma that affects the spinal cord are practically not expressed, therefore a person, not knowing about the disease, does not consult a doctor. However, the tumor can increase in size, which simply cannot but affect the well-being of the patient.
So, neurilemma can manifest itself with the following symptoms:
- restriction of the motor function of that part of the ridge where the neoplasm is located;
- sharp, sharp pains: if there is neuroma of the lumbar spine, pain will be felt in the sacral region, in the presence of a neoplasm in the thoracic region, pain will appear in the chest, and with cervical schwannoma in the cervical vertebrae;
- skeletal muscle weakness;
- paresis of limbs;
- decreased sensitivity in different parts of the body;
- numbness of the arms and legs, which is felt below the area of the ridge affected by the tumor;
- a violation in the functioning of the genitourinary tract;
- involuntary urination or bowel movements.
The presence of such signs indicates that the disease has already moved to a late stage of development and further absence of treatment can have extremely serious consequences.
Which doctor treats neuroma?
Schwannoma is treated by a neurosurgeon. If necessary, the patient may need additional consultation with an oncologist.
Neurilemma, which was diagnosed in the early stages of development, is treated using conservative methods, but, as a rule, it is detected quite late.
A tumor in the spine can be detected only after a series of events. In this case, it is important for the patient to undergo a comprehensive diagnosis to determine the severity of the disease and the exact location of the neoplasm.
An accurate diagnosis can be made based on the results:
If it is not possible to undergo a comprehensive examination or some procedure cannot be performed for certain reasons, only a radiography will be sufficient to make a preliminary diagnosis.
This is the simplest, but at the same time, informative method for studying the structure of the ridge, since it allows you to detect the schwanny of the spine, excluding degenerative-dystrophic changes in it.
Disease treatment methods
The treatment of spinal neurinoma depends on several factors:
- age of the patient;
- the severity of the pathological process;
- tumor size;
- the location of the neoplasm.
In this case, the doctor must be sure of the benign nature of the neurinoma (that is, to exclude its malignancy). There are three methods to treat pathology:
So, conservative therapy has a special role, but it is rarely used, since schwannoma is often found already in the late stages of its development. In this case, medications are practically not used, unless with the impossibility of surgical treatment. In this case, the patient is prescribed medications that will inhibit the growth of the tumor.
With a conservative approach to treating neurinoma, the doctor takes a wait-and-see attitude by regularly monitoring the patient’s health status.
Surgical intervention for neuroma of the spine is aimed at partial or complete removal of a benign neoplasm. However, this approach to treatment requires a long recovery, in addition, it does not guarantee the complete exclusion of the risk of relapse of the pathological process.
Radiosurgery is resorted to only if the tumor is too tightly fused with the tissues of the spinal cord. This technique is based on the use of radio exposure, which is a powerful stress for the whole organism.
Traditional methods of treatment
Given the specifics of the disease and the localization of its focus, it becomes obvious that treatment of spinal neuroma with folk remedies is impossible. Only with ear or plantar schwannoma can the use of therapeutic methods of alternative medicine be resorted to.
With the timely detection of neurinoma and its correct treatment, the prognosis for recovery is quite favorable. If the disease is in a neglected state, then there is a huge risk of developing dangerous complications.
Even a benign tumor of the spine can have dangerous consequences for human health. It is able to compress the spinal nerves, which can lead to:
- partial loss of motor functions;
- malfunctioning of the intestines;
- disorders of the urinary system.
In addition, schwannomas are able to degenerate into malignant tumors, and this is already potentially dangerous not only for health, but also for human life.
Prevention of the development of neuroma of the spine has been and remains a rather complicated issue, since the only right tactics aimed at preventing this dangerous disease do not exist.
To at least slightly reduce the risk of pathology, the following recommendations can be observed:
- People with a genetic predisposition to schwannoma are advised to regularly undergo preventive medical examinations. They will help to identify the disease at an early stage of development and prevent its further progression.
- Avoid spinal injuries. First of all, this applies to people working in dangerous or extreme conditions. Compliance with occupational safety is the main guarantee of spinal health.
- Avoid prolonged exposure to radiation (as much as possible).
It should not be forgotten that this benign neoplasm can develop in every person without exception, and even in a newborn child. Therefore, the only measure to prevent complications of pathology is to see a doctor at the first disturbing manifestations of spinal diseases.