Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
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Cystic Abducens Schwannoma without Abducens Paresis : Possible Role of Cisternal Structures in Clinical Manifestation

  • Lee, Seul-Kee (Department of Neurosurgery, Chonnam National University Research Institute of Medical Sciences, Chonnam National University Hwasun Hospital and Medical School) ;
  • Moon, Kyung-Sub (Department of Neurosurgery, Chonnam National University Research Institute of Medical Sciences, Chonnam National University Hwasun Hospital and Medical School) ;
  • Lee, Kyung-Hwa (Department of Pathology, Chonnam National University Research Institute of Medical Sciences, Chonnam National University Hwasun Hospital and Medical School) ;
  • Jung, Shin (Department of Neurosurgery, Chonnam National University Research Institute of Medical Sciences, Chonnam National University Hwasun Hospital and Medical School)
  • Received : 2012.11.06
  • Accepted : 2013.06.19
  • Published : 2013.06.28
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Abstract

The abducens nerve paresis generally can aid in the presumptive diagnosis of abducens schwannoma along with the typical radiological features of schwannomas. The authors present a case of a 76-year-old male patient with a abducens schwannoma without abducens nerve paresis. Peroperatively, abducens nerve located in the cerebellopontine cistern had normal in contour and diameter, despite the mass originated from this nerve. We hypothesize that anatomic location of abducens nerve may affect the vector of tumor growth to prevent destruction of its origin, the abducens nerve.

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References

  1. Celli P, Ferrante L, Acqui M, Mastronardi L, Fortuna A, Palma L : Neurinoma of the third, fourth, and sixth cranial nerves : a survey and report of a new fourth nerve case. Surg Neurol 38 : 216-224, 1992 https://doi.org/10.1016/0090-3019(92)90172-J
  2. Erlich SA, Tymianski M, Kiehl TR : Cellular schwannoma of the abducens nerve : case report and review of the literature. Clin Neurol Neurosurg 111 : 467-471, 2009 https://doi.org/10.1016/j.clineuro.2009.01.001
  3. Lantos PL, Vandenberg SR, Kleihues P : Tumours of the Peripheral Nerve in Graham DI, Lantos PL (eds) : Greenfield's neuropathology. London, UK : Arnold, 2001, pp713-717
  4. Matsuno H, Rhoton AL Jr, Peace D : Microsurgical anatomy of the posterior fossa cisterns. Neurosurgery 23 : 58-80, 1988 https://doi.org/10.1227/00006123-198807000-00012
  5. Nakamura M, Carvalho GA, Samii M : Abducens nerve schwannoma : a case report and review of the literature. Surg Neurol 57 : 183-188; discussion 188-189, 2002 https://doi.org/10.1016/S0090-3019(01)00670-X
  6. Park JH, Cho YH, Kim JH, Lee JK, Kim CJ : Abducens nerve schwannoma : case report and review of the literature. Neurosurg Rev 32 : 375-378; discussion 378, 2009 https://doi.org/10.1007/s10143-009-0203-7
  7. Vachata P, Sames M : Abducens nerve schwannoma mimicking intrinsic brainstem tumor. Acta Neurochir (Wien) 151 : 1281-1287, 2009 https://doi.org/10.1007/s00701-009-0302-9
  8. Yasargil MG, Kasdaglis K, Jain KK, Weber HP : Anatomical observations of the subarachnoid cisterns of the brain during surgery. J Neurosurg 44 : 298-302, 1976 https://doi.org/10.3171/jns.1976.44.3.0298