{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,9,30]],"date-time":"2025-09-30T04:10:15Z","timestamp":1759205415440,"version":"3.44.0"},"reference-count":24,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2025,9,16]],"date-time":"2025-09-16T00:00:00Z","timestamp":1757980800000},"content-version":"vor","delay-in-days":15,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:p>Intramedullary schwannomas of the conus medullaris are exceptionally rare, accounting for less than 1% of all spinal schwannomas. Their clinical presentation is often nonspecific, and radiological features closely mimic more common intramedullary tumors such as ependymomas, leading to frequent diagnostic challenges. We report the case of a 51\u2010year\u2010old Tanzanian male who presented with a 2\u2010year history of progressive lower back pain, bilateral lower limb weakness, and urinary incontinence. Magnetic resonance imaging (MRI) demonstrated an intradural intramedullary lesion at the conus medullaris (T11\u2013L1), initially suggestive of myxopapillary ependymoma. Subtotal surgical excision was performed to preserve neurological function, and histopathological analysis confirmed a benign schwannoma. Postoperatively, the patient experienced partial neurological recovery and is undergoing multidisciplinary follow\u2010up and rehabilitation. This case underscores the importance of considering schwannoma in the differential diagnosis of conus medullaris lesions and highlights that even in resource\u2010limited settings, subtotal resection can provide meaningful symptom relief and functional improvement.<\/jats:p>","DOI":"10.1002\/ccr3.70893","type":"journal-article","created":{"date-parts":[[2025,9,17]],"date-time":"2025-09-17T04:50:56Z","timestamp":1758084656000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Intramedullary Schwannoma of the Conus Medullaris Presenting With Progressive Paraparesis: A Rare Case From a Resource\u2010Limited Setting"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4322-7937","authenticated-orcid":false,"given":"William","family":"Nkenguye","sequence":"first","affiliation":[{"name":"Department of Epidemiology and Applied Biostatistics KCMC University  Moshi Tanzania"},{"name":"Kilimanjaro Clinical Research Institute Kilimanjaro Christian Medical Centre  Moshi Tanzania"},{"name":"Global Emergency Medicine Innovation and Implementation (GEMINI) Research Centre, Duke Global Health Institute Duke University  Durham North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mujaheed","family":"Suleman","sequence":"additional","affiliation":[{"name":"Department of Medicine KCMC University  Moshi Tanzania"},{"name":"Department of General Surgery Kilimanjaro Christian Medical Centre  Moshi Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7226-0168","authenticated-orcid":false,"given":"Alex","family":"Mremi","sequence":"additional","affiliation":[{"name":"Kilimanjaro Clinical Research Institute Kilimanjaro Christian Medical Centre  Moshi Tanzania"},{"name":"Department of Medicine KCMC University  Moshi Tanzania"},{"name":"Department of Pathology Kilimanjaro Christian Medical Centre  Moshi Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felister","family":"Uisso","sequence":"additional","affiliation":[{"name":"Department of Medicine KCMC University  Moshi Tanzania"},{"name":"Department of Radiology Kilimanjaro Christian Medical Centre  Moshi Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiten","family":"Solanki","sequence":"additional","affiliation":[{"name":"Department of General Surgery Kilimanjaro Christian Medical Centre  Moshi Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Happiness","family":"Rabiel","sequence":"additional","affiliation":[{"name":"Department of Medicine KCMC University  Moshi Tanzania"},{"name":"Department of Neurosurgery Kilimanjaro Christian Medical Centre  Moshi Tanzania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3373-5762","authenticated-orcid":false,"given":"Jay","family":"Lodhia","sequence":"additional","affiliation":[{"name":"Department of Medicine KCMC University  Moshi Tanzania"},{"name":"Department of General Surgery Kilimanjaro Christian Medical Centre  Moshi Tanzania"},{"name":"Department of Paediatric Surgery The Children's Hospital at Westmead  Sydney Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,16]]},"reference":[{"volume-title":"StatPearls","year":"2025","author":"Sheikh M. 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