Pontine extension of a tentorial schwannoma without cranial nerve involvement: a case report

Autor: D'Urso Pietro, Marino Michele, Di Blasi Arturo, Muccio Carmine, De Cillis Pompilio, Catapano Giuseppe
Jazyk: angličtina
Rok vydání: 2011
Předmět:
Zdroj: Journal of Medical Case Reports, Vol 5, Iss 1, p 597 (2011)
Druh dokumentu: article
ISSN: 1752-1947
DOI: 10.1186/1752-1947-5-597
Popis: Abstract Introduction Intracranial schwannomas unrelated to the cranial nerves are uncommon. We report a new case of tentorial schwannoma unrelated to the cranial nerves, with extension into the pons. A literature review with discussion of the most relevant pathogenetic aspects is also performed. Case presentation A 42-year-old Caucasian man was admitted with right-sided paresthesias and weakness of his upper and lower extremities. The neurological examination revealed right hemiparesis and hemi-hypoesthesia. A brain magnetic resonance imaging scan revealed a cerebellopontine lesion, arising from the left free edge of the tentorium, and extending into his pons. A piecemeal removal was performed through a retrosigmoid approach. The lesion was not found to be associated with any cranial nerves. The histological examination revealed a schwannoma Antoni type A. His postoperative course was uneventful. At one year follow-up, the patient was neurologically intact and the magnetic resonance imaging of his brain performed at that time showed complete removal without signs of recurrence. Conclusion Tentorial schwannomas are rare clinical entities. Knowledge of their clinical, radiological and anatomical characteristics is very important for the correct diagnosis and management.
Databáze: Directory of Open Access Journals