Supratentorial intracerebral schwannoma: Its fate and proper management

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Abstract

Intracerebral schwannomas are rare and there have been none reported in Korea. We present the case of a 25-year-old man with newly developed right-side weakness and recent seizure aggravation. His seizures started approximately 9 years prior to admission. At that time, a 1 cm diameter in-tra-axial enhancing mass at the left precentral gyrus was found on magnetic resonance image (MRI). After 9 years of observation and treatment with antiepileptic medication, an MRI taken due to symptom aggravation revealed peri-tumoral cyst formation with tumor enlargement. The tumor was surgically removed. Subsequently, right-side weakness diminished and there was good seizure control. Pathologic diagnosis was schwannoma. Schwannoma is a very rare tumor and there are no pathognomonic findings on radiologic images; thus, it is challenging to make a correct diagnosis. However, considering the natural course and excellent prognosis after surgical treatment of this kind of intra-axial mass with benign features, early surgery for diagnosis and proper treatment is highly recommended. © 2013 The Korean Neurosurgical Society.

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Lee, S., Park, S. H., & Chung, C. K. (2013). Supratentorial intracerebral schwannoma: Its fate and proper management. Journal of Korean Neurosurgical Society, 54(4), 340–343. https://doi.org/10.3340/jkns.2013.54.4.340

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