Josué D. Garza-González, Departamento de Rehabilitación, Hospital General de Zona No. 20 La Margarita, Instituto Mexicano del Seguro Social (IMSS), Puebla de Zaragoza, Pue., México
Dana C. Vázquez-Sánchez, Departamento de Rehabilitación, Hospital General de Zona No. 20 La Margarita, Instituto Mexicano del Seguro Social (IMSS), Puebla de Zaragoza, Pue., México
José E. Ramírez-Vásquez, Departamento de Rehabilitación, Hospital General de Zona No. 20 La Margarita, Instituto Mexicano del Seguro Social (IMSS), Puebla de Zaragoza, Pue., México
Álvaro J. Montiel-Jarquín, Dirección de Educación e Investigación en Salud, Hospital de Especialidades de Puebla. Instituto Mexicano del Seguro Social (IMSS), Puebla de Zaragoza, Pue., México
Arturo García-Galicia, Dirección de Educación e Investigación en Salud, Hospital de Especialidades de Puebla. Instituto Mexicano del Seguro Social (IMSS), Puebla de Zaragoza, Pue., México
Angélica E. García-Pérez, Coordinación de Investigación en Salud, Nivel Central, IMSS, Ciudad de México, México
Introduction: Schwannomas are infrequent tumors of Schwann cells. They are considered benign soft tissue neoplasms, and they originate in the peripheral nerve sheath. The most frequent is the vestibular location, spinal schwannomas represent about 1%, and 0.3% of intraspinal neoplasms. They are more frequent in men around 40 years of age. Objective: To present a patient with spinal Schwannomas, their management and evolution. Case presentation: A 29-year-old female, with a surgical history of spinal surgery 15 years earlier. She presented with dorsal pain, paresthesias and progressive weakness of the lower extremities. Magnetic resonance imaging showed a well-delimited intramedullary lesion, compatible with Schwannoma, and complete resection of the lesion was performed, with functional improvement of 40%. She underwent early rehabilitation with complete recovery two months after surgery. Her evolution, management, and clinical, laboratory and cabinet findings are presented. Manual muscle strength measurement was used. Conclusions: Early rehabilitation is the key to complete functional restitution of patients.
Keywords: Lumbar intramedullary Schwannoma. Treatment. Evolution. Institutional rehabilitation program.
