Schwannomas

Pediatric spinal schwannomas are rare, benign tumors that originate from Schwann cells, which form the insulating sheath around peripheral nerves. Although schwannomas are more common in adults, they can also appear in children and adolescents, especially those with genetic syndromes like Neurofibromatosis Type 2 (NF2). If left untreated, these tumors may enlarge and compress the spinal cord or nerve roots, leading to progressive neurological symptoms such as pain, limb weakness, or even paralysis. In the context of Bangladesh, these tumors are often underdiagnosed, particularly in rural regions where access to pediatric MRI and specialized neurosurgical services is limited. Dr. Md. Nafaur Rahman, a prominent pediatric neurosurgeon in Bangladesh, provides advanced diagnostic and surgical treatment for pediatric spinal schwannomas using the latest techniques to ensure the best possible outcomes for affected children. What is a Spinal Schwannoma? A spinal schwannoma is a slow-growing, encapsulated tumor that arises from the Schwann cells of spinal nerve roots. It is typically: Benign in nature Most commonly intradural-extramedullary, although it may be extradural or dumbbell-shaped, extending through the neural foramen Found most often in the cervical and thoracic spine, though it can occur at any level Causes and Risk Factors Sporadic (most cases are not hereditary) Neurofibromatosis Type 2 (NF2) – a genetic disorder associated with bilateral vestibular schwannomas and spinal tumors Radiation exposure (rare in children) Congenital nerve sheath anomalies Symptoms in Children The clinical presentation depends on the tumor’s size, location, and speed of growth. Children in Bangladesh may present late due to low awareness. Common signs and symptoms include: Persistent neck or back pain Radicular pain radiating to arms or legs Muscle weakness or wasting in limbs Gait disturbances or balance issues Numbness or tingling in extremities Bladder and bowel dysfunction in advanced cases Spinal deformity or scoliosis in longstanding tumors Diagnosis of Spinal Schwannomas in Bangladesh Prompt and accurate diagnosis is critical for optimal outcomes. Dr. Nafaur Rahman follows an evidence-based protocol tailored for pediatric patients: Clinical Evaluation Detailed neurological examination Assessment for NF2 signs (bilateral hearing loss, multiple schwannomas) Family history screening Eye exam for associated retinal abnormalities Imaging Studies MRI of the spine with contrast – provides detailed images of the tumor, its boundaries, and its effect on the spinal cord CT scan – to assess bony erosion or foraminal expansion Whole spine screening in suspected NF2 cases Genetic testing if hereditary syndromes are suspected Surgical Treatment Surgery is the primary and most effective treatment for symptomatic spinal schwannomas. Goals of Surgery: Total tumor removal while preserving nerve function Decompression of the spinal cord and nerve roots Prevention of further neurological decline Minimizing complications and recurrence Techniques Used by Dr. Md. Nafaur Rahman: Microsurgical resection under operative microscope Laminoplasty or laminectomy for access to the spinal canal Intraoperative neuro-monitoring to protect vital nerve functions Minimally invasive approaches for smaller or lateral tumors Scoliosis correction in selected cases Postoperative Recovery and Follow-Up Most children recover well and regain lost neurological functions Physiotherapy and rehabilitation are essential for full recovery Regular MRI follow-up to monitor for tumor recurrence, especially in NF2 cases Lifelong surveillance in children with genetic syndromes Challenges in the Bangladesh Context Delayed recognition due to nonspecific symptoms Limited pediatric neurosurgical centers outside Dhaka Inadequate access to spinal MRI in rural districts Low awareness among general practitioners and pediatricians Cultural stigma related to neurological disorders Why Choose Dr. Md. Nafaur Rahman? One of Bangladesh’s most experienced pediatric spinal tumor surgeons Expert in microsurgical and minimally invasive spinal surgeries Operates at both National Institute of Neurosciences & Hospital (NINS) and Bangladesh Paediatric Neurocare Centre Offers comprehensive, affordable care for patients from all parts of Bangladesh Leads a multidisciplinary team including pediatric neurologists, radiologists, anesthetists, and physiotherapists Committed to educating the public and improving early diagnosis Appointment and Contact Information Dr. Md. Nafaur Rahman Assistant Professor, Pediatric Neurosurgery National Institute of Neurosciences & Hospital (NINS) Chief Consultant, Bangladesh Paediatric Neurocare Centre 📞 For Serial/Appointment: 📱 01912988182 | 01607033535 🌐 Website: www.neurosurgeonnafaur.com