ABSTRACT
We report the details of a patient with an intracisternal schwannoma that developed
from the spinal accessory nerve. The patient, a 70-year-old women, presented with
a 5-year history of intermittent headache and neck pain. A 3.2 × 2.5 cm partially
cystic mass was found in the right cervicomedullary cistern. It was removed through
a far-lateral inferior suboccipital craniotomy using image-guidance. The tumor arose
from one rootlet of the right accessory nerve and histological examination confirmed
the diagnosis of a schwannoma. Removal of the schwannoma did not result in a significant
neurological deficit.
KEYWORDS
Intracisternal - schwannoma - spinal accessory nerve
REFERENCES
- 1
Julow J.
Neurinoma of the spinal accessory nerve: report of two cases.
Acta Neurochir (Wien).
1983;
69
219-224
- 2
Iwasaki K, Kondo A.
Accessory nerve neurinoma manifesting with typical jugular foramen syndrome.
Neurosurgery.
1991;
29
455-459
- 3
Pluchino F, Crivelli G, Vaghi M A.
Intracranial neurinomas of the jugular foramen.
Acta Neurochir (Wien).
1975;
31
201-221
- 4
Shiroyama Y, Inoue S, Tsuha M, Abiko S, Aoki H.
Intracranial neurinomas of the jugular foramen and the hypoglossal canal [in Japanese].
No Shinkei Geka.
1988;
16
313-319
- 5
Pluchino F, Crivelli G, Vaghi M A.
Intracranial neurinomas of the nerves of the jugular foramen.
Acta Neurochir (Wien).
1975;
31
201-221
- 6
Fink L H, Early C B, Bryan R N.
Glossopharyngeal schwannomas.
Surg Neurol.
1978;
9
239-245
- 7
Hakuba A, Hashi K, Fujitani K et al..
Jugular foramen neurinomas.
Surg Neurol.
1979;
11
83-94
- 8
Solymosi L, Wassmann H, Bonse R.
Diagnosis of neurinoma in the region of the jugular foramen. A case report.
Neurosurg Rev.
1987;
10
41-46
- 9
Sugawara A, Kowada M, Nishino K, Sakamoto T.
Jugular foramen neurinoma-report of a case.
No Shinkei Geka.
1981;
9
829-833
- 10
Suzuki S, Yamaguchi K, Sakai H, Tanji H, Higa K.
Intracranial neurinoma of jugular foramen-report of a case and reference, its clinical
manifestations (author's trans) [in Japanese].
No Shinkei Geka.
1977;
5
379-384
- 11
Caputi F, de Sanctis S, Gazzeri G, Gazzeri R.
Neuroma of the spinal accessory nerve disclosed by a subarachnoid hemorrhage: case
report.
Neurosurgery.
1997;
41
946-950
- 12
Matsushima T, Hasuo K, Yasumori K et al..
Magnetic resonance imaging of jugular foramen neurinomas.
Acta Neurochir (Wien).
1989;
96
83-87
- 13
Uchino A, Hasuo K, Fukui M et al..
Computed tomography of jugular foramen neurinomas. Report of four cases.
Neurol Med Chir (Tokyo).
1987;
27
628-632
- 14
Lanotte M, Massaro F, Scienza R, Faccani G.
Intracisternal schwannoma of the spinal accessory nerve presenting as a normal pressure
hydrocephalus syndrome. Case report and review of the literature.
Neurosurg Rev.
1994;
17
225-227
Shin JungM.D. Ph.D.
Department of Neurosurgery, Chonnam National University Hwasun Hospital, 160, Ilsim-ri,
Hwasun-eup
Hwasun-gun, Jeollanam-do, 519-809, Republic of Korea
eMail: sjung@chonnam.ac.kr