Pseudocapsule Formation After Gamma Knife Radiosurgery for Trigeminal Neurinoma : Case Report

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概要

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• A 38-year-old female presented with a trigeminal neurinoma manifesting as left facial paresthesia. The diagnosis was based on magnetic resonance (MR) imaging findings. Gamma knife radiosurgery (GKR) was performed at another hospital at her request. Fifteen months after the GKR, follow-up MR imaging revealed tumor regrowth causing extensive compression of the brainstem, and cyst formation in the tumor. Her clinical symptoms including facial pain and diplopia had worsened, so she was referred to our affiliated hospital for microsurgery. The tumor was totally resected, but the left trigeminal nerve had to be sacrificed because of pseudocapsule formation which covered both the tumor and the trigeminal nerve fibers. The diplopia disappeared, but her facial pain deteriorated after the operation. GKR can induce fibrosis or degenerative change in nearby structures, which may complicate subsequent surgery.

• 日本脳神経外科学会の論文
• 2005-10-15

著者

• YOSHIDA Kazunari

  Department of Neurosurgery, Keio University School of Medicine

• KAWASE Takeshi

  Department of Neurosurgery, Keio University School of Medicine

• IKEDA Eiji

  Department of Pathology, School of Medicine, Keio University

• AKIYAMA Takenori

  Department of Neurosurgery, Keio University School of Medicine

• Watanabe Sumio

  Department Of Gastroenterology Juntendo University

• Kawase Takeshi

  Department Of Chemistry Graduate School Of Science Osaka University

• Yoshida Kazunari

  Department Of Neurosurgery School Of Medicine Keio University

• Yoshida Kazunari

  Department Of Neurosurgery Keio University School Of Medicine

• Ikeda Eiji

  Departments Of Pathology School Of Medicine Keio University

• Linden Joel

  Cardiovascular Research Center University Of Virginia

• Oyake Jinko

  Department Of Gastroenterology Akita University School Of Medicine

• WADA ISAO

  Department of Internal Medicine, Akita University School of Medicine

• HORIKAWA YOUHEI

  Department of Internal Medicine, Akita University School of Medicine

• Yoshida Kazunari

  Departments Of Neurosurgery School Of Medicine Keio University

• Ohba Reina

  Department Of Gastroenterology Akita University School Of Medicine

• Hatakeyama Natsumi

  Department Of Gastroenterology Akita University School Of Medicine

• Kuroshima Yoshiaki

  Department Of Neurosurgery School Of Medicine Keio University

• Akiyama Takenori

  Department Of Neurosurgery Keio University School Of Medicine

• Akiyama Takenori

  Department Of Neurosurgery School Of Medicine Keio University

• Ikeda Eiji

  Department Of Earth And Planetary Sciences Faculty Of Science Kyushu University

• Kawase Takeshi

  Department Of Chemistry Faculty Of Science Osaka University

• Matsuhashi Tamotsu

  Department Of Gastroenterology Akita University Graduate School Of Medicine

• IKEDA Eiji

  Departments of Pathology, School of Medicine, Keio University

• KAWASE Takeshi

  Departments of Neurosurgery School of Medicine, Keio University

• Horikawa Youhei

  Department of Gastroenterology, Akita University School of Medicine

• AKIYAMA Takenori

  Departments of Neurosurgery School of Medicine, Keio University

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