A case of cervicogenic headache caused by C5 nerve root derived shwannoma: Case report

Introduction We report a case of cervicogenic headache caused by an intradural extramedullary tumor of the middle cervical spine, which has not previously been reported. Case presentation The patient was a 73-year-old male who visited a physician for a chief complaint of pain from the left lower jaw...

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Veröffentlicht in:Cephalalgia 2017-08, Vol.37 (9), p.902-905
Hauptverfasser: Gondo, Gakuji, Watanabe, Tsuyoshi, Kawada, Junya, Tanaka, Masahiko, Yamamoto, Kazuaki, Tanaka, Satoshi, Endo, Satoshi
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container_end_page 905
container_issue 9
container_start_page 902
container_title Cephalalgia
container_volume 37
creator Gondo, Gakuji
Watanabe, Tsuyoshi
Kawada, Junya
Tanaka, Masahiko
Yamamoto, Kazuaki
Tanaka, Satoshi
Endo, Satoshi
description Introduction We report a case of cervicogenic headache caused by an intradural extramedullary tumor of the middle cervical spine, which has not previously been reported. Case presentation The patient was a 73-year-old male who visited a physician for a chief complaint of pain from the left lower jaw to the auricle and occipital region. The headache was induced with retroflexion of the neck. On cervical magnetic resonance imaging, an intradural extramedullary tumor was noted on the left side at the C4/5 level. The intradural tumor, which arose from the C5 nerve root, was excised and the pain was resolved. The pathological diagnosis was schwannoma. Conclusion Previously reported cases of spinal cord tumor-induced cervicogenic headache were due to upper cervical spinal tumors. This is the first report that a middle-lower cervical intradural extramedullary tumor caused cervicogenic headache.
doi_str_mv 10.1177/0333102416658713
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Case presentation The patient was a 73-year-old male who visited a physician for a chief complaint of pain from the left lower jaw to the auricle and occipital region. The headache was induced with retroflexion of the neck. On cervical magnetic resonance imaging, an intradural extramedullary tumor was noted on the left side at the C4/5 level. The intradural tumor, which arose from the C5 nerve root, was excised and the pain was resolved. The pathological diagnosis was schwannoma. Conclusion Previously reported cases of spinal cord tumor-induced cervicogenic headache were due to upper cervical spinal tumors. 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Case presentation The patient was a 73-year-old male who visited a physician for a chief complaint of pain from the left lower jaw to the auricle and occipital region. The headache was induced with retroflexion of the neck. On cervical magnetic resonance imaging, an intradural extramedullary tumor was noted on the left side at the C4/5 level. The intradural tumor, which arose from the C5 nerve root, was excised and the pain was resolved. The pathological diagnosis was schwannoma. Conclusion Previously reported cases of spinal cord tumor-induced cervicogenic headache were due to upper cervical spinal tumors. 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Case presentation The patient was a 73-year-old male who visited a physician for a chief complaint of pain from the left lower jaw to the auricle and occipital region. The headache was induced with retroflexion of the neck. On cervical magnetic resonance imaging, an intradural extramedullary tumor was noted on the left side at the C4/5 level. The intradural tumor, which arose from the C5 nerve root, was excised and the pain was resolved. The pathological diagnosis was schwannoma. Conclusion Previously reported cases of spinal cord tumor-induced cervicogenic headache were due to upper cervical spinal tumors. This is the first report that a middle-lower cervical intradural extramedullary tumor caused cervicogenic headache.</abstract><cop>London, England</cop><pub>SAGE Publications</pub><pmid>27385490</pmid><doi>10.1177/0333102416658713</doi><tpages>4</tpages></addata></record>
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subjects Aged
Cervical Vertebrae
Humans
Male
Neurilemmoma - complications
Peripheral Nervous System Neoplasms - complications
Post-Traumatic Headache - etiology
Spinal Nerve Roots - pathology
title A case of cervicogenic headache caused by C5 nerve root derived shwannoma: Case report
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