Dumbbell-Shaped Trigeminal Schwannoma in a Child

소아에서 발생한 삼차신경초종

  • Kim, Myoung-Hoon (Department of Neurosurgery, Samsung Medical Center, Sungkunkwan University School of Medicine) ;
  • Shin, Hyung-Jin (Department of Neurosurgery, Samsung Medical Center, Sungkunkwan University School of Medicine) ;
  • Nam, Do-Hyun (Department of Neurosurgery, Samsung Medical Center, Sungkunkwan University School of Medicine) ;
  • Suh, Yeon-Lim (Department of Diagnostic Pathology, Samsung Medical Center, Sungkunkwan University School of Medicine) ;
  • Kim, Jong Hyun (Department of Neurosurgery, Samsung Medical Center, Sungkunkwan University School of Medicine)
  • 김명훈 (성균관대학교 의과대학 삼성서울병원 신경외과학교실) ;
  • 신형진 (성균관대학교 의과대학 삼성서울병원 신경외과학교실) ;
  • 남도현 (성균관대학교 의과대학 삼성서울병원 신경외과학교실) ;
  • 서연림 (성균관대학교 의과대학 삼성서울병원 병리학교실) ;
  • 김종현 (성균관대학교 의과대학 삼성서울병원 신경외과학교실)
  • Received : 2001.07.01
  • Accepted : 2001.12.14
  • Published : 2001.12.31

Abstract

Trigeminal schwannoma is an uncommon intracranial tumor and constitutes less than 0.08-8% of all intracranial schwannoma. Trigeminal shchwannoma is even rarer in childhood and only 11 cases of trigeminal schwannoma under the age of 14 have been reported including our case. We experienced a case of trigeminal schwannoma in a 9 year-old girl without the stigmata of neurofibromatosis. She presented with a 2 week-history of right abducens nerve palsy. Magnetic resonance image demonstrated a dumbbell-shaped tumor extending into right middle and posterior fossas with a size of $60{\times}45{\times}35mm$. The tumor was successfully removed by right transzygomatic subtemporal extradural approach. Pathologic examination of the mass revealed typical features of schwannoma.

Keywords