Gupta Ankush, Nair Bijesh Ravindran, Chacko Geeta, Mani Sunithi, Joseph Vivek
Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu, India.
Department of Pathology, Christian Medical College, Vellore, Tamil Nadu, India.
Asian J Neurosurg. 2015 Jan-Mar;10(1):42-4. doi: 10.4103/1793-5482.151509.
We present a case of a cervical intramedullary schwannoma (IS), which resembled a glioma on radiology. Somatic and root pain, the most common presenting complaints of IS, were lacking in our patient, and the characteristic magnetic resonance finding of an enhancing thickened nerve root in IS, was absent in our case. Preoperative diagnosis of a cervical IS is not always possible. Complete tumor resection is the ideal treatment for IS. Intraoperative frozen section can be a useful for decision making though the tumor-cord plane will ultimately decide if the tumor can be radically excised.
我们报告一例颈段髓内神经鞘瘤(IS),其在影像学上类似胶质瘤。躯体和神经根性疼痛是IS最常见的首发症状,但我们的患者并无这些症状,且该病例也未出现IS中特征性的磁共振表现,即增厚的神经根强化。颈段IS术前并非总能确诊。完整切除肿瘤是IS的理想治疗方法。术中冰冻切片有助于决策,不过肿瘤与脊髓的界面最终将决定肿瘤能否被根治性切除。