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Cervical intramedullary schwannoma mimicking a glioma.

Gupta A, Nair BR, Chacko G, Mani S, Joseph V - Asian J Neurosurg (2015 Jan-Mar)

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu, India.

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus

(a and b) Postgadolinium sagittal (a) and axial (b) images showing an intensely enhancing intramedullary mass at C3–C4 level
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Figure 2: (a and b) Postgadolinium sagittal (a) and axial (b) images showing an intensely enhancing intramedullary mass at C3–C4 level

Mentions: Magnetic resonance imaging (MRI) of the cervical spine revealed a 2 cm sized, centrally located, well-defined enhancing mass at the C3–C4 level, with an inferior polar nonenhancing cyst, expanding the cord with changes in the cord signal within the entire cervical cord. On T2-weighted images, the enhancing part of the lesion was isointense. There was no separate syrinx. The differential diagnoses considered were ependymoma or astrocytoma [Figures 1 and 2].


Cervical intramedullary schwannoma mimicking a glioma.

Gupta A, Nair BR, Chacko G, Mani S, Joseph V - Asian J Neurosurg (2015 Jan-Mar)

(a and b) Postgadolinium sagittal (a) and axial (b) images showing an intensely enhancing intramedullary mass at C3–C4 level
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4352628&req=5

Figure 2: (a and b) Postgadolinium sagittal (a) and axial (b) images showing an intensely enhancing intramedullary mass at C3–C4 level
Mentions: Magnetic resonance imaging (MRI) of the cervical spine revealed a 2 cm sized, centrally located, well-defined enhancing mass at the C3–C4 level, with an inferior polar nonenhancing cyst, expanding the cord with changes in the cord signal within the entire cervical cord. On T2-weighted images, the enhancing part of the lesion was isointense. There was no separate syrinx. The differential diagnoses considered were ependymoma or astrocytoma [Figures 1 and 2].

Bottom Line: 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.

View Article: PubMed Central - PubMed

Affiliation: Department of Neurological Sciences, Christian Medical College, Vellore, Tamil Nadu, India.

ABSTRACT
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.

No MeSH data available.


Related in: MedlinePlus