Cervical intramedullary schwannoma mimicking a glioma.
Cervical intramedullary schwannoma mimicking a glioma.
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DOI：
10.4103/1793-5482.151509
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发表时间：
2015-01
期刊：
影响因子：
--
通讯作者：
Joseph V
中科院分区：
文献类型：
--
作者：
Gupta A;Nair BR;Chacko G;Mani S;Joseph V
我们报告一个颈椎髓内神经鞘瘤（IS）的病例，它在放射学上类似于胶质瘤。躯体和根性疼痛是IS最常见的主诉，在我们的病例中缺乏，并且在IS中没有特征性的磁共振发现，即增强的神经根增厚。宫颈IS的术前诊断并不总是可行的。肿瘤完全切除是is的理想治疗方法。术中冰冻切片是一个有用的决策，尽管肿瘤-脊髓平面将最终决定肿瘤是否可以彻底切除。
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.