Journal of Korean Neurosurgical Society

  • 제47권2호
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  • Pages.137-139
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  • 2010
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Cervical Schwannoma Presenting with Acute Intracranial Subarachnoid Hemorrhage

  • Ji, Cheal (Department of Neurosurgery, St. Paul's Hospital, The Catholic University of Korea College of Medicine) ;
  • Ahn, Jae-Geun (Department of Neurosurgery, St. Paul's Hospital, The Catholic University of Korea College of Medicine) ;
  • Huh, Han-Yong (Department of Neurosurgery, St. Paul's Hospital, The Catholic University of Korea College of Medicine) ;
  • Park, Chun-Kun (Department of Neurosurgery, Seoul St. Mary's Hospital, The Catholic University of Korea College of Medicine)
  • 발행 : 2010.02.20
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초록

A subarachnoid hemorrhage (SAH) associated with negative finding on four-vessel angiography is seen in 5 to 30% of patients with intracranial SAH. A previously silent lesion in the spinal canal may be responsible for the angiographically negative finding for cause of intracranial SAH. We report a case of upper cervical (C1-2) intradural schwannoma presenting with acute intracranial SAH. Repeated cerebral angiographic studies were negative, but cervical magnetic resonance imaging study and tissue pathology revealed a intradural-extramedullary schwannoma in C1-2 level. This case illustrates the importance of a high index of clinical suspicion for spinal disease in angiographically negative intracranial SAH patients.

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참고문헌

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피인용 문헌

  1. Special features of subarachnoid hemorrhage of unknown origin: a review of a series of 179 cases vol.34, pp.1, 2012, https://doi.org/10.1179/1743132811y.0000000025
  2. Ancient Schwannoma of the Cauda Equina: Our Experience and Review of the Literature vol.2016, pp.None, 2010, https://doi.org/10.1155/2016/7930521
  3. Haemosiderin cap sign in cervical intramedullary schwannoma mimicking ependymoma: how to differentiate? vol.61, pp.8, 2010, https://doi.org/10.1007/s00234-019-02229-6
  4. Nine-segment laminectomy is safe for the resection of a schwannoma extending from C-2 to T-3: a rare case report vol.29, pp.3, 2010, https://doi.org/10.13181/mji.cr.192844