Foramen magnum schwannoma with an unusual clinical presentation: case report
This case report illustrates a patient with a unilateral localized epidural schwannoma at C1 – 2 level, showing contralateral spinal cord symptoms and signs. The clinical presentation was compared with the neuroradiological examinations showing an epidural cord tumor at the right C1 – C2 level. Howe...
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| Veröffentlicht in: | Spinal cord 1997-08, Vol.35 (8), p.554-556 |
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| creator | Sairyo, Koichi Henmi, Tatsuhiko Endo, Hisao |
| description | This case report illustrates a patient with a unilateral localized epidural schwannoma at C1 – 2 level, showing contralateral spinal cord symptoms and signs. The clinical presentation was compared with the neuroradiological examinations showing an epidural cord tumor at the right C1 – C2 level. However, the neurological examination revealed contralateral hemiparesis and ipsilateral hemihypoalgesia, indicating a contralateral Brown – Sequard syndrome. We presumed with this slow growing tumor, contralateral cord involvement may result from counter pressure on the spinal cord, which may be generated by cord deviation and by frequent neck rotation. |
| doi_str_mv | 10.1038/sj.sc.3100431 |
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The clinical presentation was compared with the neuroradiological examinations showing an epidural cord tumor at the right C1 – C2 level. However, the neurological examination revealed contralateral hemiparesis and ipsilateral hemihypoalgesia, indicating a contralateral Brown – Sequard syndrome. We presumed with this slow growing tumor, contralateral cord involvement may result from counter pressure on the spinal cord, which may be generated by cord deviation and by frequent neck rotation.</description><identifier>ISSN: 1362-4393</identifier><identifier>EISSN: 1476-5624</identifier><identifier>DOI: 10.1038/sj.sc.3100431</identifier><identifier>PMID: 9267924</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Anatomy ; Biological and medical sciences ; Biomedical and Life Sciences ; Biomedicine ; Brain Neoplasms - diagnostic imaging ; Brain Neoplasms - pathology ; Brain Neoplasms - surgery ; Foramen Magnum - diagnostic imaging ; Foramen Magnum - pathology ; Foramen Magnum - surgery ; Hemiplegia - etiology ; Human Physiology ; Humans ; Laminectomy ; Male ; Medical sciences ; Middle Aged ; Neurilemmoma - diagnostic imaging ; Neurilemmoma - pathology ; Neurilemmoma - surgery ; Neurochemistry ; Neurology ; Neuropsychology ; Neurosciences ; original-article ; Pain Measurement ; Radiography ; Tumors of the nervous system. 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The clinical presentation was compared with the neuroradiological examinations showing an epidural cord tumor at the right C1 – C2 level. However, the neurological examination revealed contralateral hemiparesis and ipsilateral hemihypoalgesia, indicating a contralateral Brown – Sequard syndrome. We presumed with this slow growing tumor, contralateral cord involvement may result from counter pressure on the spinal cord, which may be generated by cord deviation and by frequent neck rotation.</description><subject>Anatomy</subject><subject>Biological and medical sciences</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Brain Neoplasms - diagnostic imaging</subject><subject>Brain Neoplasms - pathology</subject><subject>Brain Neoplasms - surgery</subject><subject>Foramen Magnum - diagnostic imaging</subject><subject>Foramen Magnum - pathology</subject><subject>Foramen Magnum - surgery</subject><subject>Hemiplegia - etiology</subject><subject>Human Physiology</subject><subject>Humans</subject><subject>Laminectomy</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Neurilemmoma - diagnostic imaging</subject><subject>Neurilemmoma - pathology</subject><subject>Neurilemmoma - surgery</subject><subject>Neurochemistry</subject><subject>Neurology</subject><subject>Neuropsychology</subject><subject>Neurosciences</subject><subject>original-article</subject><subject>Pain Measurement</subject><subject>Radiography</subject><subject>Tumors of the nervous system. Phacomatoses</subject><issn>1362-4393</issn><issn>1476-5624</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kE1LxDAQhoMofh89Cj2It65Jk6aNNxG_YMGL9zA7O9UubbpmWsR_b2SLN08z8D68wzxCXCi5UFLXN7xZMC60ktJotSeOlalsXtrC7Kdd2yI32ukjccK8kVI65epDcegKW7nCHIvl4xChp5D18B6mPmP8-IIQhh6yr3b8yCBkU5h4gi7Drg0tpmUbiSmMMLZDuM0QmLJI2yGOZ-KggY7pfJ6n4u3x4e3-OV--Pr3c3y1zNKoa8xrX1JQlommsKRuLSGtJtUOtcFUR2qZqSqMAbK1LZ8FptLReobYg62qlT8X1rnYbh8-JePR9y0hdB4GGiX36TCtrVALzHYhxYI7U-G1se4jfXkn_K8_zxjP6WV7iL-fiadXT-o-ebaX8as6Bk4gmQsCW_7CiqmzpZMIWO4xTEt4p-s0wxZCM_HP3BzNXiM8</recordid><startdate>19970801</startdate><enddate>19970801</enddate><creator>Sairyo, Koichi</creator><creator>Henmi, Tatsuhiko</creator><creator>Endo, Hisao</creator><general>Nature Publishing Group UK</general><general>Nature Publishing</general><scope>IQODW</scope><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>19970801</creationdate><title>Foramen magnum schwannoma with an unusual clinical presentation: case report</title><author>Sairyo, Koichi ; Henmi, Tatsuhiko ; Endo, Hisao</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c417t-8cdef55cc4f645f6cced0e89c31cb7ec6f7f541aa683596a93c6edbc36a087b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1997</creationdate><topic>Anatomy</topic><topic>Biological and medical sciences</topic><topic>Biomedical and Life Sciences</topic><topic>Biomedicine</topic><topic>Brain Neoplasms - diagnostic imaging</topic><topic>Brain Neoplasms - pathology</topic><topic>Brain Neoplasms - surgery</topic><topic>Foramen Magnum - diagnostic imaging</topic><topic>Foramen Magnum - pathology</topic><topic>Foramen Magnum - surgery</topic><topic>Hemiplegia - etiology</topic><topic>Human Physiology</topic><topic>Humans</topic><topic>Laminectomy</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Neurilemmoma - diagnostic imaging</topic><topic>Neurilemmoma - pathology</topic><topic>Neurilemmoma - surgery</topic><topic>Neurochemistry</topic><topic>Neurology</topic><topic>Neuropsychology</topic><topic>Neurosciences</topic><topic>original-article</topic><topic>Pain Measurement</topic><topic>Radiography</topic><topic>Tumors of the nervous system. Phacomatoses</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Sairyo, Koichi</creatorcontrib><creatorcontrib>Henmi, Tatsuhiko</creatorcontrib><creatorcontrib>Endo, Hisao</creatorcontrib><collection>Pascal-Francis</collection><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>Spinal cord</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Sairyo, Koichi</au><au>Henmi, Tatsuhiko</au><au>Endo, Hisao</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Foramen magnum schwannoma with an unusual clinical presentation: case report</atitle><jtitle>Spinal cord</jtitle><stitle>Spinal Cord</stitle><addtitle>Spinal Cord</addtitle><date>1997-08-01</date><risdate>1997</risdate><volume>35</volume><issue>8</issue><spage>554</spage><epage>556</epage><pages>554-556</pages><issn>1362-4393</issn><eissn>1476-5624</eissn><abstract>This case report illustrates a patient with a unilateral localized epidural schwannoma at C1 – 2 level, showing contralateral spinal cord symptoms and signs. The clinical presentation was compared with the neuroradiological examinations showing an epidural cord tumor at the right C1 – C2 level. However, the neurological examination revealed contralateral hemiparesis and ipsilateral hemihypoalgesia, indicating a contralateral Brown – Sequard syndrome. We presumed with this slow growing tumor, contralateral cord involvement may result from counter pressure on the spinal cord, which may be generated by cord deviation and by frequent neck rotation.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>9267924</pmid><doi>10.1038/sj.sc.3100431</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Anatomy Biological and medical sciences Biomedical and Life Sciences Biomedicine Brain Neoplasms - diagnostic imaging Brain Neoplasms - pathology Brain Neoplasms - surgery Foramen Magnum - diagnostic imaging Foramen Magnum - pathology Foramen Magnum - surgery Hemiplegia - etiology Human Physiology Humans Laminectomy Male Medical sciences Middle Aged Neurilemmoma - diagnostic imaging Neurilemmoma - pathology Neurilemmoma - surgery Neurochemistry Neurology Neuropsychology Neurosciences original-article Pain Measurement Radiography Tumors of the nervous system. Phacomatoses |
| title | Foramen magnum schwannoma with an unusual clinical presentation: case report |
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