Schwannoma arising from the tentorium at an unusual location: case report
We present a case of schwannoma attached to the tentorium. A 41-year-old woman without evidence of neurofibromatosis presented with a 3-month history of headache, positional vertigo, and truncal ataxia. Magnetic resonance imaging revealed an extra-axial cystic mass lesion in the left anteromedial ce...
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Veröffentlicht in: | Neurosurgery 2002-06, Vol.50 (6), p.1352-1355 |
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creator | Oikawa, Akihiro Takeda, Naoto Aoki, Nobuhiko Takizawa, Touichiro Sakoma, Takaaki |
description | We present a case of schwannoma attached to the tentorium.
A 41-year-old woman without evidence of neurofibromatosis presented with a 3-month history of headache, positional vertigo, and truncal ataxia. Magnetic resonance imaging revealed an extra-axial cystic mass lesion in the left anteromedial cerebellar region with a dural tail sign.
The tumor was removed completely by retrosigmoid craniotomy. Dense adhesion of the tumor to the inferior surface of the tentorium was confirmed during surgery. On light microscopic study, this neoplasm was composed of spindle cells and showed palisaded structures. Immunohistochemically, the tumor cells stained positive for S-100 protein and vimentin. Reticulin staining revealed a pericellular pattern of distribution of reticulin fibers. Electron microscopy confirmed the presence of a basement membrane encompassing the tumor cells. From these findings, the tumor was diagnosed as a schwannoma arising from the tentorium.
To our knowledge, this case report is the first to describe a schwannoma arising from the tentorium. Our case report indicates that schwannoma is a possible pathology in the differential diagnosis of dura-based tumors. |
doi_str_mv | 10.1097/00006123-200206000-00028 |
format | Article |
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A 41-year-old woman without evidence of neurofibromatosis presented with a 3-month history of headache, positional vertigo, and truncal ataxia. Magnetic resonance imaging revealed an extra-axial cystic mass lesion in the left anteromedial cerebellar region with a dural tail sign.
The tumor was removed completely by retrosigmoid craniotomy. Dense adhesion of the tumor to the inferior surface of the tentorium was confirmed during surgery. On light microscopic study, this neoplasm was composed of spindle cells and showed palisaded structures. Immunohistochemically, the tumor cells stained positive for S-100 protein and vimentin. Reticulin staining revealed a pericellular pattern of distribution of reticulin fibers. Electron microscopy confirmed the presence of a basement membrane encompassing the tumor cells. From these findings, the tumor was diagnosed as a schwannoma arising from the tentorium.
To our knowledge, this case report is the first to describe a schwannoma arising from the tentorium. Our case report indicates that schwannoma is a possible pathology in the differential diagnosis of dura-based tumors.</description><identifier>ISSN: 0148-396X</identifier><identifier>EISSN: 1524-4040</identifier><identifier>DOI: 10.1097/00006123-200206000-00028</identifier><identifier>PMID: 12015855</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Cerebellar Neoplasms - diagnosis ; Cerebellar Neoplasms - metabolism ; Cerebellar Neoplasms - pathology ; Cerebellar Neoplasms - surgery ; Craniotomy ; Diagnosis, Differential ; Female ; Humans ; Immunohistochemistry ; Magnetic Resonance Imaging ; Microscopy, Electron ; Neurilemmoma - diagnosis ; Neurilemmoma - metabolism ; Neurilemmoma - pathology ; Neurilemmoma - surgery ; Reticulin - metabolism ; S100 Proteins - metabolism ; Vimentin - metabolism</subject><ispartof>Neurosurgery, 2002-06, Vol.50 (6), p.1352-1355</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c377t-10c4fa6687e10c63f5725d5de9b754601f622d22de1592c599e435578ab2a8be3</citedby><cites>FETCH-LOGICAL-c377t-10c4fa6687e10c63f5725d5de9b754601f622d22de1592c599e435578ab2a8be3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27903,27904</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/12015855$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Oikawa, Akihiro</creatorcontrib><creatorcontrib>Takeda, Naoto</creatorcontrib><creatorcontrib>Aoki, Nobuhiko</creatorcontrib><creatorcontrib>Takizawa, Touichiro</creatorcontrib><creatorcontrib>Sakoma, Takaaki</creatorcontrib><title>Schwannoma arising from the tentorium at an unusual location: case report</title><title>Neurosurgery</title><addtitle>Neurosurgery</addtitle><description>We present a case of schwannoma attached to the tentorium.
A 41-year-old woman without evidence of neurofibromatosis presented with a 3-month history of headache, positional vertigo, and truncal ataxia. Magnetic resonance imaging revealed an extra-axial cystic mass lesion in the left anteromedial cerebellar region with a dural tail sign.
The tumor was removed completely by retrosigmoid craniotomy. Dense adhesion of the tumor to the inferior surface of the tentorium was confirmed during surgery. On light microscopic study, this neoplasm was composed of spindle cells and showed palisaded structures. Immunohistochemically, the tumor cells stained positive for S-100 protein and vimentin. Reticulin staining revealed a pericellular pattern of distribution of reticulin fibers. Electron microscopy confirmed the presence of a basement membrane encompassing the tumor cells. From these findings, the tumor was diagnosed as a schwannoma arising from the tentorium.
To our knowledge, this case report is the first to describe a schwannoma arising from the tentorium. Our case report indicates that schwannoma is a possible pathology in the differential diagnosis of dura-based tumors.</description><subject>Adult</subject><subject>Cerebellar Neoplasms - diagnosis</subject><subject>Cerebellar Neoplasms - metabolism</subject><subject>Cerebellar Neoplasms - pathology</subject><subject>Cerebellar Neoplasms - surgery</subject><subject>Craniotomy</subject><subject>Diagnosis, Differential</subject><subject>Female</subject><subject>Humans</subject><subject>Immunohistochemistry</subject><subject>Magnetic Resonance Imaging</subject><subject>Microscopy, Electron</subject><subject>Neurilemmoma - diagnosis</subject><subject>Neurilemmoma - metabolism</subject><subject>Neurilemmoma - pathology</subject><subject>Neurilemmoma - surgery</subject><subject>Reticulin - metabolism</subject><subject>S100 Proteins - metabolism</subject><subject>Vimentin - metabolism</subject><issn>0148-396X</issn><issn>1524-4040</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2002</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkE1LxDAQhoMo7rr6FyQnb9VJmq96E_FjYcGDCt5CmqZupU3WJEX891Z31WGGmYH3nYEHIUzgnEAlL2AKQWhZUAAKYtqKqajaQ3PCKSsYMNhHcyBMFWUlXmboKKU3ACKYVIdoRigQrjifo-WjXX8Y78NgsIld6vwrbmMYcF47nJ3PIXbjgE3GxuPRj2k0Pe6DNbkL_hJbkxyObhNiPkYHremTO9n1BXq-vXm6vi9WD3fL66tVYUspc0HAstYIoaSbRlG2XFLe8MZVteRMAGkFpc2UjvCKWl5VjpWcS2VqalTtygU6297dxPA-upT10CXr-t54F8akJREVo4JOQrUV2hhSiq7Vm9gNJn5qAvobo_7FqP8w6h-Mk_V092OsB9f8G3fcyi9RMGzo</recordid><startdate>200206</startdate><enddate>200206</enddate><creator>Oikawa, Akihiro</creator><creator>Takeda, Naoto</creator><creator>Aoki, Nobuhiko</creator><creator>Takizawa, Touichiro</creator><creator>Sakoma, Takaaki</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200206</creationdate><title>Schwannoma arising from the tentorium at an unusual location: case report</title><author>Oikawa, Akihiro ; Takeda, Naoto ; Aoki, Nobuhiko ; Takizawa, Touichiro ; Sakoma, Takaaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c377t-10c4fa6687e10c63f5725d5de9b754601f622d22de1592c599e435578ab2a8be3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2002</creationdate><topic>Adult</topic><topic>Cerebellar Neoplasms - diagnosis</topic><topic>Cerebellar Neoplasms - metabolism</topic><topic>Cerebellar Neoplasms - pathology</topic><topic>Cerebellar Neoplasms - surgery</topic><topic>Craniotomy</topic><topic>Diagnosis, Differential</topic><topic>Female</topic><topic>Humans</topic><topic>Immunohistochemistry</topic><topic>Magnetic Resonance Imaging</topic><topic>Microscopy, Electron</topic><topic>Neurilemmoma - diagnosis</topic><topic>Neurilemmoma - metabolism</topic><topic>Neurilemmoma - pathology</topic><topic>Neurilemmoma - surgery</topic><topic>Reticulin - metabolism</topic><topic>S100 Proteins - metabolism</topic><topic>Vimentin - metabolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Oikawa, Akihiro</creatorcontrib><creatorcontrib>Takeda, Naoto</creatorcontrib><creatorcontrib>Aoki, Nobuhiko</creatorcontrib><creatorcontrib>Takizawa, Touichiro</creatorcontrib><creatorcontrib>Sakoma, Takaaki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Oikawa, Akihiro</au><au>Takeda, Naoto</au><au>Aoki, Nobuhiko</au><au>Takizawa, Touichiro</au><au>Sakoma, Takaaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Schwannoma arising from the tentorium at an unusual location: case report</atitle><jtitle>Neurosurgery</jtitle><addtitle>Neurosurgery</addtitle><date>2002-06</date><risdate>2002</risdate><volume>50</volume><issue>6</issue><spage>1352</spage><epage>1355</epage><pages>1352-1355</pages><issn>0148-396X</issn><eissn>1524-4040</eissn><abstract>We present a case of schwannoma attached to the tentorium.
A 41-year-old woman without evidence of neurofibromatosis presented with a 3-month history of headache, positional vertigo, and truncal ataxia. Magnetic resonance imaging revealed an extra-axial cystic mass lesion in the left anteromedial cerebellar region with a dural tail sign.
The tumor was removed completely by retrosigmoid craniotomy. Dense adhesion of the tumor to the inferior surface of the tentorium was confirmed during surgery. On light microscopic study, this neoplasm was composed of spindle cells and showed palisaded structures. Immunohistochemically, the tumor cells stained positive for S-100 protein and vimentin. Reticulin staining revealed a pericellular pattern of distribution of reticulin fibers. Electron microscopy confirmed the presence of a basement membrane encompassing the tumor cells. From these findings, the tumor was diagnosed as a schwannoma arising from the tentorium.
To our knowledge, this case report is the first to describe a schwannoma arising from the tentorium. Our case report indicates that schwannoma is a possible pathology in the differential diagnosis of dura-based tumors.</abstract><cop>United States</cop><pmid>12015855</pmid><doi>10.1097/00006123-200206000-00028</doi><tpages>4</tpages></addata></record> |
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subjects | Adult Cerebellar Neoplasms - diagnosis Cerebellar Neoplasms - metabolism Cerebellar Neoplasms - pathology Cerebellar Neoplasms - surgery Craniotomy Diagnosis, Differential Female Humans Immunohistochemistry Magnetic Resonance Imaging Microscopy, Electron Neurilemmoma - diagnosis Neurilemmoma - metabolism Neurilemmoma - pathology Neurilemmoma - surgery Reticulin - metabolism S100 Proteins - metabolism Vimentin - metabolism |
title | Schwannoma arising from the tentorium at an unusual location: case report |
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