Intracranial Hypoglossal Neurinoma with Extracranial Extension: Review and Case Report

Neurosurgery ◽  
1989 ◽  
Vol 24 (4) ◽  
pp. 583-587 ◽  
Author(s):  
Genya Odake

ABSTRACT A case of neurinoma affecting the intracranial part of the hypoglossal nerve is reported. Symptoms and signs, radiological findings, and operative results of other cases are reviewed. The value of computerized tomography and magnetic resonance imaging in local diagnosis and the feasibility of a one-stage operation for total removal of tumors with extracranial extension are discussed.

2006 ◽  
Vol 64 (3a) ◽  
pp. 672-675 ◽  
Author(s):  
José Alberto Gonçalves da Silva ◽  
Maria do Desterro Leiros da Costa ◽  
Maurus Marques de Almeida Holanda ◽  
Luiz Ricardo Santiago Melo ◽  
Antônio Fernandes Almeida de Araújo ◽  
...  

We report on a 49 year old man with impacted cisterna magna without the presence of syringohydromyelie (SM). The clinical picture was characterized by spastic paraparesis. Magnetic resonance imaging depicted a cisterna magna filled by the cerebellar tonsils. Six months after osteodural-neural decompression of the posterior fossa there was resolution of neurological symptoms and signs with the exception of hyperactive patellar and Achilles reflexes.


2011 ◽  
Vol 126 (2) ◽  
pp. 210-213 ◽  
Author(s):  
D H Lee ◽  
S K Kim ◽  
Y E Joo ◽  
S C Lim

AbstractObjective:We report an extremely rare case of a fungus ball within a mucocele of the sphenoid sinus and infratemporal fossa.Case report:A 62-year-old woman was referred for evaluation of a mass lesion in the left sphenoid sinus and infratemporal fossa. Endoscopic examination of the nasal cavity was unremarkable. Computed tomography showed a non-enhancing, expansile mass with calcifications in the sphenoid and infratemporal fossa; T2-weighted magnetic resonance imaging revealed marked hypointense signals within the sphenoid sinus mass, with an intermediate signal intensity. A presumptive diagnosis of a mucocele was made. During surgery, a profuse amount of yellow fluid was drained from the mucocele. Clay-like material was noted within the mucocele, corresponding to the hypointense magnetic resonance imaging signals; this was identified as aspergillus on histopathological examination. Radiological findings for a fungus ball within a mucocele can be similar to those for allergic fungal sinusitis, which shows mixed low and high attenuation on computed tomography and low-signal intensity on T2-weighted magnetic resonance imaging, within an expansile, cystic lesion.Conclusion:Although an association between a fungus ball and a mucocele is rare in the paranasal sinuses, this disease entity should be considered in the differential diagnosis of expansile, cystic sinus lesions.


2021 ◽  
Vol 12 ◽  
pp. 353
Author(s):  
George Fotakopoulos ◽  
Alexandros Brotis ◽  
Kostas Andreas Fountas

Background: Lumbar disc herniation (LDH) usually presents with lower extremity symptoms and signs, but rarely with bladder and bowel complaints. Here, we present a 61-year-old female who suffered solely from fecal incontinence (FI) attributed to a large LDH. Case Description: The patient presented with FI, but had a normal neurological examination. When the lumbar magnetic resonance imaging of showed a large central L5S1 LDH, the patient underwent an urgent diskectomy. Six months later, her symptoms had improved. Conclusion: Patients with large central LDHs may present with FI alone warranting urgent/emergent disc removal.


Neurosurgery ◽  
1991 ◽  
Vol 28 (4) ◽  
pp. 612-616 ◽  
Author(s):  
Shuichi Takaki ◽  
Kuratsu Jun-Ichi ◽  
Yosuke Mihara ◽  
Akira Takada ◽  
Hiroshi Seto ◽  
...  

Abstract A rare case of a lymphoproliferative lesion in the hypoglossal nerve is reported. The patient, a 52-year-old woman, had symptoms identical with those of hypoglossal neurinoma. Computed tomography and magnetic resonance imaging revealed a lesion at the left cerebellomedullary angle. The tumor was removed, and histopathological studies revealed that the tumor consisted predominantly of lymphocytes.


Neurosurgery ◽  
1988 ◽  
Vol 23 (2) ◽  
pp. 232-234 ◽  
Author(s):  
Charles J. Azzam

ABSTRACT A case of a midline lumbar extradural ganglion/synovial cyst causing lumbar canal stenosis and mimicking an epidural tumor is presented. The lesion was demonstrated by a magnetic resonance imaging study, and relief of symptoms was achieved with decompressive laminectomy and total removal of the mass. The pathogenesis of lumbar ganglion/synovial cyst is reviewed.


2014 ◽  
Vol 38 (2) ◽  
pp. 212-214 ◽  
Author(s):  
Mehmet Beyazal ◽  
Necip Pirinççi ◽  
Alpaslan Yavuz ◽  
Sercan Özkaçmaz ◽  
Gülay Bulut

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