A Case of Hypoglossal Neurilemmoma Resected Via Burr-hole Craniectomy

  • Kim, Young-Jin (Department of Neurosurgery, Dankook University Hospital) ;
  • Ko, Yong (Department of Neurosurgery, Hanyang University Medical Center) ;
  • Yi, Hyeong-Joong (Department of Neurosurgery, Hanyang University Medical Center) ;
  • Oh, Suck-Jun (Department of Neurosurgery, Hanyang University Medical Center)
  • 발행 : 2007.01.30

초록

Hypoglossal neurilemmoma is extremely rare. Intracranial hypoglossal neurilemmoma has been reported to the present most commonly as a space-occupying lesion with symptoms of raised intracranial pressure. A 68-year-old women presented with deviation of the tongue to the left on protrusion. Preoperative radiological images revealed an extra-axial mass in and around the hypoglossal canal. The tumor was totally resected via retrosigmoid suboccipital approach with burrhole craniectomy. Histopathological examination verified a neurilemmoma. She had no neurologic abnormality except hypoglossal palsy which recovered completely in six months. Retrosigmoid suboccipital approach with burrhole craniectomy can be an useful approach in intracranial hypoglossal neurilemmoma without extracranial extension or with minimal extracranial extension into the hypoglossal canal.

키워드

참고문헌

  1. Bartal AD, Djaldetti MM, Mandel EM, Lerner MA: Dumb-bell neurinoma of the hypoglossal nerve. J Neurol Neurosurg Psychiatry 36 : 592-595, 1973 https://doi.org/10.1136/jnnp.36.4.592
  2. Berger MS, Edwards MS, Bingham WG : Hypoglossal neurilemmoma: case report and review of the literature. Neurosurgery 10 : 617-620, 1982 https://doi.org/10.1227/00006123-198205000-00013
  3. Choi CH, Rha HK, Lee KJ, Cho KK, Park SC, Park HK, et al : Microvascular decompression for hemifacial spasm. J Korean Neurosurg Soc 28: 493-497, 1999
  4. Damon AS, Gorden BH, Sam EK, JH Lee: Technical modifications of suboccipital craniectomy for prevention of postoperative headache. Skull Base 14 : 77-84, 2004 https://doi.org/10.1055/s-2004-828698
  5. Dolan EJ, Tucker WS, Rotenberg D, Chui M: Intracranial hypoglossal schwannoma as unusual cause of facial nerve palsy. Case Report. J Neurosurg 56: 420-423, 1982 https://doi.org/10.3171/jns.1982.56.3.0420
  6. Fujiwara S, Hachisuga S, Numaguchi Y: Intracranial hypoglossal neurinoma: report of a case. Neuroradiology 20: 87-90, 1980 https://doi.org/10.1007/BF00339552
  7. George B, Lot G : Foramen magnum meningiomas: a review from personal experience of 37 cases and from a cooperarative study group of 106 cases. Neurosurg Quart 5: 149-167, 1995 https://doi.org/10.1097/00013414-199509000-00001
  8. Heros RC : Lateral suboccipital approach for vertebral and vertebrobasilar artery lesions.J Neurosurg 64: 559-562, 1986 https://doi.org/10.3171/jns.1986.64.4.0559
  9. Ho KL : Schwannoma of the trochlear nerve. Case report. J Neurosurg 55: 132-135, 1981 https://doi.org/10.3171/jns.1981.55.1.0132
  10. Karpati RL, Loevner LA, Cunning DM, Yousem DM, Li S, Weber RS : Synchronous schwannomas of the hypoglossal nerve and cervical sympathetic chain. Am J Roentgenol 171 : 1505-1507, 1998 https://doi.org/10.2214/ajr.171.6.9843279
  11. Kim SH, Choi CH : The efficacy of microvascular decompression for trigeminal neuralgia. J Korean Neurosurg Soc 37: 357-363, 2005
  12. Aihara K, Morita A : Dumbbell-shaped hypoglossal schwannoma in an elderly woman : a clinical dilemma. Surg Neurol 63 : 526-528, 2005 https://doi.org/10.1016/j.surneu.2004.07.045
  13. Kratimenos GP, Crockard HA : The far lateral approach for the ventrally placed foramen magnum and upper cervical spine rumours. Br J Neurosurg 7 : 129-140, 1993 https://doi.org/10.3109/02688699309103469
  14. Odake G : Intracranial hypoglossal neurinoma with extracranial extension: review and case report. Neurosurgery 24: 583-587, 1989 https://doi.org/10.1227/00006123-198904000-00016
  15. Pendl G, Ganz JC, Kirz K, Eustacchio S : Acoustic neurinomas with macrocysts treated with Gamma Knife radiosurgery. Stereotact Funct Neurosurg 66(Suppl 1) : 103-111, 1996 https://doi.org/10.1159/000099775
  16. Samii M, Klekamp J, Carvalho G: Surgical results for meningiomas of the craniocervical junction. Neurosurgery 39: 1086-1095, 1996 https://doi.org/10.1097/00006123-199612000-00003
  17. Samii M, T atagiba M : T umors of the jugular foramen. Neurosurg Quart 6: 176-193, 1996 https://doi.org/10.1097/00013414-199609000-00002
  18. Sarma S, Sekhar LN, Schessel DA : Nonvestibular schwannomas of the brain: a 7-year experience. Neurosurgery 50: 437-448, 2002 https://doi.org/10.1097/00006123-200203000-00002
  19. Sato M, Kanai N, Fukushima Y : Hypoglossal neurinoma extending intra- and extracranially : case report. Surg Neurol 45 : 172-175, 1996 https://doi.org/10.1016/S0090-3019(96)80012-7
  20. Spinnato S, TaiacchiA, Musumeci A, Turazzi S, BricoloA: Dumbbellshaped hypoglossal neurinoma: surgical removal via a dorsolateral transcondylar approach. A case report and review of the literature. Acta Neurochir (Wien) 140: 827-832, 1998 https://doi.org/10.1007/s007010050185
  21. Takahashi T, Tominaga T, Sato Y, Watanabe M, Yoshimoto T: Hypoglossal neurinoma presenring with intratumoral hemorrhage. J Clin Neurosci 9: 716-719, 2002 https://doi.org/10.1054/jocn.2001.1109