{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,21]],"date-time":"2026-07-21T22:00:16Z","timestamp":1784671216313,"version":"3.55.0"},"reference-count":12,"publisher":"BMJ","issue":"7","license":[{"start":{"date-parts":[[2021,7,27]],"date-time":"2021-07-27T00:00:00Z","timestamp":1627344000000},"content-version":"unspecified","delay-in-days":26,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,5,24]]},"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>We describe a rare case of large, fully cystic spinal schwannoma in a young adult from The Gambia. The initial clinical suspicion was spinal cystic echinococcosis. He came to our attention reporting progressive walking impairment and neurological symptoms in the lower limbs. An expansive lesion extending from L2 to S1 was shown by imaging (ie, CT scan and MRI). Differential diagnoses included aneurysmal bone cyst and spinal tuberculosis and abscess; the initial suggested diagnosis of spinal cystic echinococcosis was discarded based on contrast enhancement results. The final diagnosis of cystic schwannoma was obtained by histopathology of the excised mass. Cystic spinal lesions are rare and their differential diagnosis is challenging. Awareness of autochthonous and tropical infectious diseases is important, especially in countries experiencing consistent migration flow; however, it must be kept in mind that migrants may also present with \u2018non-tropical\u2019 pathologies.<\/jats:p>","DOI":"10.1136\/bcr-2021-242690","type":"journal-article","created":{"date-parts":[[2021,7,28]],"date-time":"2021-07-28T12:16:27Z","timestamp":1627474587000},"page":"e242690","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":6,"title":["Large multicystic spinal lesion in a young African migrant: a problem of differential diagnosis"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6012-0667","authenticated-orcid":false,"given":"Tamara","family":"Ursini","sequence":"first","affiliation":[{"name":"Department of Infectious and Tropical Diseases and Microbiology, IRCCS Ospedale Sacro Cuore Don Calabria, Negrar, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paola","family":"Rodari","sequence":"additional","affiliation":[{"name":"Department of Infectious and Tropical Diseases and Microbiology, IRCCS Ospedale Sacro Cuore Don Calabria, Negrar, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Geraldo","family":"Badona Monteiro","sequence":"additional","affiliation":[{"name":"Department of Infectious and Tropical Diseases and Microbiology, IRCCS Ospedale Sacro Cuore Don Calabria, Negrar, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valeria","family":"Barresi","sequence":"additional","affiliation":[{"name":"Department of Diagnostics and Public Health, University of Verona, Verona, Veneto, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmelo","family":"Cicci\u00f2","sequence":"additional","affiliation":[{"name":"Department of Diagnostic Imaging and Interventional Radiology, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS) Sacro Cuore Don Calabria Hospital, Negrar, Verona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fabio","family":"Moscolo","sequence":"additional","affiliation":[{"name":"Institute of Neurosurgery, University of Verona and City Hospital, Verona, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Tamarozzi","sequence":"additional","affiliation":[{"name":"Department of Infectious and Tropical Diseases and Microbiology, IRCCS Ospedale Sacro Cuore Don Calabria, Negrar, Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,7,28]]},"reference":[{"key":"2025082703375113000_14.7.e242690.1","doi-asserted-by":"publisher","DOI":"10.1016\/bs.apar.2016.11.001"},{"key":"2025082703375113000_14.7.e242690.2","doi-asserted-by":"crossref","first-page":"51","DOI":"10.1046\/j.1365-3024.1998.00117.x","article-title":"Diagnostic evaluation of a synthetic peptide derived from a novel antigen B subunit as related to other available peptides and native antigens used for serology of cystic hydatidosis","volume":"20","author":"Barbieri","year":"1998","journal-title":"Parasite Immunol"},{"key":"2025082703375113000_14.7.e242690.3","doi-asserted-by":"crossref","first-page":"350","DOI":"10.3340\/jkns.2013.54.4.350","article-title":"Cystic giant sacral schwannoma mimicking aneurysmal bone cyst : a case report and review of literatures","volume":"54","author":"Cho","year":"2013","journal-title":"J Korean Neurosurg Soc"},{"key":"2025082703375113000_14.7.e242690.4","doi-asserted-by":"crossref","first-page":"349","DOI":"10.4103\/2152-7806.139666","article-title":"Cystic spinal schwannomas: a short series of six cases. can we predict them preoperatively?","volume":"5","author":"Savardekar","year":"2014","journal-title":"Surg Neurol Int"},{"key":"2025082703375113000_14.7.e242690.5","doi-asserted-by":"publisher","DOI":"10.1007\/s00401-007-0243-4"},{"key":"2025082703375113000_14.7.e242690.6","doi-asserted-by":"publisher","DOI":"10.1067\/cdr.2002.125402"},{"key":"2025082703375113000_14.7.e242690.7","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1097\/01.rct.0000243449.48857.ec","article-title":"Pictorial essay: diverse imaging features of spinal schwannomas","volume":"31","author":"Parmar","year":"2007","journal-title":"J Comput Assist Tomogr"},{"key":"2025082703375113000_14.7.e242690.8","first-page":"145","article-title":"Spinal cystic schwannoma: an MRI evaluation","volume":"24","author":"Netra","year":"2014","journal-title":"J Coll Physicians Surg Pak"},{"key":"2025082703375113000_14.7.e242690.9","doi-asserted-by":"publisher","DOI":"10.1007\/BF02015620"},{"key":"2025082703375113000_14.7.e242690.10","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pntd.0002450","article-title":"Spinal cystic echinococcosis--a systematic analysis and review of the literature: part 1. Epidemiology and anatomy","volume":"7","author":"Neumayr","year":"2013","journal-title":"PLoS Negl Trop Dis"},{"key":"2025082703375113000_14.7.e242690.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.actatropica.2009.11.001"},{"key":"2025082703375113000_14.7.e242690.12","doi-asserted-by":"publisher","DOI":"10.1067\/j.cpradiol.2006.12.002"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2021-242690","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,27]],"date-time":"2025-08-27T10:38:01Z","timestamp":1756291081000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2021-242690"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":12,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2021,7,28]]},"published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1136\/bcr-2021-242690"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2021-242690","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}