Srinivas R, Krupashankar D, Shasi V
Department of Neurosurgery, Sri Ramachandra Medical Centre and Research Institute, Chennai, Tamil Nadu 600116, India.
Case Rep Neurol Med. 2013;2013:171494. doi: 10.1155/2013/171494. Epub 2013 Sep 25.
Intracerebral schwannomas are rare tumors of the CNS. We report a rare case of intracerebral schwannoma, presenting as a cystic and solid frontoparietal mass, arising in a 16-year-old girl. The patient presented seizures and headache. Neuroradiologic findings showed a left frontoparietal lesion with cystic and tissular components. The tumor was removed through a left frontoparietal craniotomy. Histological features confirmed the diagnosis of intracerebral schwannoma. Intracerebral schwannomas, unrelated to cranial nerves, are rare. The Schwann cells are not indigenous to brain substance, and hence histogenesis of these tumours has attracted a lot of speculation, but because most reported cases have involved young patients, a developmental origin has been suggested. The theories and literature related to this case are reviewed.
脑内神经鞘瘤是中枢神经系统的罕见肿瘤。我们报告了一例罕见的脑内神经鞘瘤病例,该肿瘤表现为囊性和实性的额顶叶肿块,发生于一名16岁女孩。患者出现癫痫和头痛症状。神经放射学检查结果显示左侧额顶叶有一个包含囊性和组织成分的病变。通过左侧额顶叶开颅手术切除了肿瘤。组织学特征证实了脑内神经鞘瘤的诊断。与颅神经无关的脑内神经鞘瘤很罕见。雪旺细胞并非脑实质所固有,因此这些肿瘤的组织发生引起了诸多推测,但由于大多数报道的病例涉及年轻患者,有人提出其起源于发育过程。本文对与此病例相关的理论和文献进行了综述。