Erdogan E, Ongürü O, Bulakbasi N, Baysefer A, Gezen F, Timurkaynak E
Department of Neurosurgery, Gulhane Military Medical School, Ankara, Turkey.
Minim Invasive Neurosurg. 2003 Feb;46(1):50-3. doi: 10.1055/s-2003-37969.
Intracerebral and intramedullary schwannomas are uncommon; but, in general, spinal intramedullary schwannomas are more frequent than intracerebral schwanomas. We present a case of right lateral ventricle schwannoma in a 21-year-old man and review the associated literature. The 21-year-old right-handed man presented with loss of the left-eye vision approximately 8 months before referral to an ophthalmologist. The patient was immediately subjected to computed tomography (CT) scan, which showed an enhanced lesion with cystic component in the right occipital horn of the lateral ventricle. And consecutively, he was admitted to our department. The tumor was evacuated via craniotomy with marked improvement in his clinical state. The postoperative course was uneventful and postoperative CT control showed no residue. On MRI control no recurrence was noted after a follow-up period of 8 years. Intracerebral schwannoma is a rare, benign neoplasm. It is usually located superficially or adjacent to a ventricle. Characteristic imaging features include cyst formation, calcification, and evidence of peritumoral edema or gliosis. The recognition of this benign and potentially curable neoplasm and its differentiation from other neoplasms, some of which have less favourable outcomes, is of obvious importance.
脑内和髓内神经鞘瘤并不常见;但一般来说,脊髓髓内神经鞘瘤比脑内神经鞘瘤更常见。我们报告一例21岁男性右侧侧脑室神经鞘瘤病例,并复习相关文献。该21岁右利手男性在转诊至眼科医生前约8个月出现左眼视力丧失。患者立即接受计算机断层扫描(CT),显示侧脑室右枕角有一个伴有囊性成分的强化病变。随后,他被收入我科。通过开颅手术切除肿瘤,其临床状态有明显改善。术后过程顺利,术后CT检查显示无残留。在MRI检查中,随访8年未发现复发。脑内神经鞘瘤是一种罕见的良性肿瘤。它通常位于浅表或靠近脑室。特征性影像学表现包括囊肿形成、钙化以及瘤周水肿或胶质增生的证据。认识到这种良性且可能治愈的肿瘤及其与其他肿瘤的鉴别,其中一些肿瘤预后较差,显然具有重要意义。