Journal of Korean Neurosurgical Society

  • 제56권2호
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  • Pages.152-156
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  • 2014
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Intracisternal Cranial Root Accessory Nerve Schwannoma Associated with Recurrent Laryngeal Neuropathy

  • Jin, Sung-Won (Department of Neurosurgery, Korea University Medical Center, College of Medicine, Korea University) ;
  • Park, Kyung-Jae (Department of Neurosurgery, Korea University Medical Center, College of Medicine, Korea University) ;
  • Park, Dong-Hyuk (Department of Neurosurgery, Korea University Medical Center, College of Medicine, Korea University) ;
  • Kang, Shin-Hyuk (Department of Neurosurgery, Korea University Medical Center, College of Medicine, Korea University)
  • 투고 : 2014.05.03
  • 심사 : 2014.08.16
  • 발행 : 2014.08.28
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초록

Intracisternal accessory nerve schwannomas are very rare; only 18 cases have been reported in the literature. In the majority of cases, the tumor origin was the spinal root of the accessory nerve and the tumors usually presented with symptoms and signs of intracranial hypertension, cerebellar ataxia, and myelopathy. Here, we report a unique case of an intracisternal schwannoma arising from the cranial root of the accessory nerve in a 58-year-old woman. The patient presented with the atypical symptom of hoarseness associated with recurrent laryngeal neuropathy which is noted by needle electromyography, and mild hypesthesia on the left side of her body. The tumor was completely removed with sacrifice of the originating nerve rootlet, but no additional neurological deficits. In this report, we describe the anatomical basis for the patient's unusual clinical symptoms and discuss the feasibility and safety of sacrificing the cranial rootlet of the accessory nerve in an effort to achieve total tumor resection. To our knowledge, this is the first case of schwannoma originating from the cranial root of the accessory nerve that has been associated with the symptoms of recurrent laryngeal neuropathy.

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참고문헌

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피인용 문헌

  1. Accessory Nerve Schwannoma Extending to the Foramen Magnum and Mimicking Glossopharyngeal Nerve Tumor—A Case and Review of Surgical Techniques vol.7, pp.3, 2014, https://doi.org/10.4236/wjns.2017.73019
  2. Gross total resection of intracisternal accessory nerve schwannomas using a familiar midline suboccipital subtonsilar approach vol.2019, pp.7, 2019, https://doi.org/10.1093/jscr/rjz220