Subfrontal schwannoma without hyposmia - Case report
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概要
- 論文の詳細を見る
A 44-year-old man presented with a rare subfrontal schwannoma with headache. He had undergone radiation therapy for a pineal lesion 30 years previously, but the histology was not verified. On admission, neurological examination revealed no focal deficits including hyposmia. Computed tomography demonstrated a mass measuring 5 x 3 cm in the right anterior cranial fossa. Magnetic resonance imaging revealed a heterogeneously enhanced mass with multiple cysts. The tumor, which was clearly separable from the surrounding normal brain, was totally resected through a right frontal craniotomy. There was no adhesion between the tumor and the olfactory groove or cribriform plate. The frontal base dura was suspected to be the tumor attachment. The patient was discharged without hyposmia. Histological examination revealed a typical pattern of schwannoma consisting of Antoni type A and type B. Immunohistochemical staining was positive for S-100 protein but negative for epithelial membrane antigen. Subfrontal schwannoma not associated with the olfactory groove or cribriform plate is extremely rare. The operative findings and absence of hyposmia suggest that the meningeal branch of the trigeminal nerve was the origin of the tumor. However, the possibility of radiation-induced reactive Schwann cells cannot be excluded.
- 日本脳神経外科学会の論文
- 2004-11-15
著者
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HAYASHI Yutaka
Department of Neurosurgery, Graduate School of Medical Science, Kanazawa University
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YAMASHITA Junkoh
Department of Neurosurgery, Division of Neuroscience, Graduate School of Medical Science, Kanazawa U
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Yamashita Junkoh
Department Of Neurosurgery Kanazawa University Hospital
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Yamashita Junkoh
Department Of Neurosurgery
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SANO Hiroki
Department of Neurosurgery, Graduate School of Medical Science, Kanazawa University
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HASEGAWA Mitsuhiro
Department of Neurosurgery, Kanazawa University Hospital
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Sano Hiroki
Department Of Neurosurgery Graduate School Of Medical Science Kanazawa University
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Sano Hiroki
Department Of Neurosurgery Kanazawa University Hospital
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Hasegawa Mitsuhiro
Department Of Architecture And Architectural Engineering Graduate School Of Industrial Technology Ni
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Hasegawa Mitsuhiro
Department Of Neurosurgery Kanazawa University Hospital
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Hayashi Yutaka
Department Of Cardiology Uwajima Social Insurance Hospital
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Hayashi Yutaka
Department Of Neurosurgery Kanazawa University Hospital
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