颅内脑室周围幕上脑实质内神经鞘瘤
Intracranial periventricular supratentorial intraparenchymal schwannoma.
作者信息
Gupta Anshul, Sharma Divyam, Dhillon Gurupal Singh, Chhabra Satnam Singh
机构信息
Department of Neurosurgery, Sri Ganga Ram Hospital, New Delhi, India.
出版信息
Surg Neurol Int. 2016 Dec 12;7(Suppl 40):S1013-S1015. doi: 10.4103/2152-7806.195584. eCollection 2016.
BACKGROUND
Intraparenchymal schwannomas in the central nervous system are very rare. Because most of these are benign, complete excision is the treatment of choice. Further, their radiological findings are difficult to differentiate from glioma. Because Schwann cells are not indigenous to cerebral parenchyma, a lot of speculation has been attached to their origin.
CASE DESCRIPTION
We report one such rare case of a 17-year-old male who presented to us with a history of headache and vomiting. Neuroradiological findings were suggestive of left temporoparietal solid cystic lesion with enhancement of solid component, suggestive of high grade glioma.
CONCLUSION
Intraoperative impression was that of a low-grade glioma but histopathological features were represented as schwannoma.
背景
中枢神经系统实质内的施万细胞瘤非常罕见。由于这些肿瘤大多为良性，完整切除是首选治疗方法。此外，它们的影像学表现很难与胶质瘤区分开来。由于施万细胞并非脑实质所固有，因此人们对其起源进行了大量推测。
病例描述
我们报告了一例这样罕见的病例，一名17岁男性，因头痛和呕吐前来就诊。神经放射学检查结果提示左颞顶叶实性囊性病变，实性成分有强化，提示为高级别胶质瘤。
结论
术中印象为低级别胶质瘤，但组织病理学特征显示为施万细胞瘤。
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