Aman Agarwal, Rohin Bhatia
40 years old male patient, reported in Neurosurgery OPD of Mahatma Gandhi National Institute of Medical Sciences (MGM Hospital), Jaipur, Rajasthan. His chief complaint was lower back ache on and off, and also reported pain radiating to lower limbs bilaterally. The clinical diagnosis did not reveal much but the diagnostic evaluation demonstrated a welldelineated, intradural extramedullary cystic mass on MRI at the level of L4 to L5, which was hypointense on T1W1 and hyperintense on T2W1, depicting of Cystic Schwannoma. The contrast enhanced MRI could not be performed due to the financial issue. As it was important to differentiate it from other cystic lesions, a definitive diagnosis of cystic schwannoma was made by Histopathological examination. Treatment involved excision of space occupying lesion completely to prevent its recurrence.
