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Microneurosurgical treatment under the guidance of neuroendoscopy for an intracranial optic nerve Schwannoma: A case report

RATIONALE: Optic Schwannoma is rarely observed clinically as optic nerve had anatomically impossibility for the location of Schwannoma. However, several reports described the established cases of optic Schwannoma, of which the locations were in orbit or within optic canal. The occurrence of optic Sc...

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Autores principales: Xiao, Jin, Ye, Lei, Wang, Weihong, Cheng, Hongwei, Li, Changyuan, Luo, Jing, Hu, Xiangyang, Zhang, Yiquan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer Health 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310894/
https://www.ncbi.nlm.nih.gov/pubmed/32569218
http://dx.doi.org/10.1097/MD.0000000000020747
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author Xiao, Jin
Ye, Lei
Wang, Weihong
Cheng, Hongwei
Li, Changyuan
Luo, Jing
Hu, Xiangyang
Zhang, Yiquan
author_facet Xiao, Jin
Ye, Lei
Wang, Weihong
Cheng, Hongwei
Li, Changyuan
Luo, Jing
Hu, Xiangyang
Zhang, Yiquan
author_sort Xiao, Jin
collection PubMed
description RATIONALE: Optic Schwannoma is rarely observed clinically as optic nerve had anatomically impossibility for the location of Schwannoma. However, several reports described the established cases of optic Schwannoma, of which the locations were in orbit or within optic canal. The occurrence of optic Schwannoma intracranially has been not reported. PATIENT CONCERNS: A 60-year-old female complained of visual impairment in the right eye and the frequent headache and the dizziness over 2 years with unknown reasons. The result of magnetic resonance imaging (MRI) showed a round, well-circumscribed, heterogeneously enhancing signal with cystic change displayed on the right suprasellar cistern. DIAGNOSES: Intracranial optic Schwannomas. INTERVENTIONS: The patient accepted microneurosurgery assisted by endoscopy. We observed a gray and yellow lesion located near the right anterior clinoid process with a mid-sized cyst. And there was a vague boundary between the tumor and the right optic nerve which was compressed by the tumor. Optic chiasm and left optic nerve were also compressed. Meanwhile, the tumor had also adhesion to the right anterior cerebral artery (ACA). OUTCOMES: After the tumor was totally resected, the patient had satisfactory recovery. LESSONS: We reported an intracranial optic Schwannoma removal with the lateral supraorbital keyhole approach assisted by neuroendoscopy. Intracranial optic Schwannoma was rarely seen clinically. Neuroendoscopy imaging suggested the close relationship between the tumor and ACA, supporting vasculature-origin hypothesis for the optic Schwannoma.
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spelling pubmed-73108942020-07-08 Microneurosurgical treatment under the guidance of neuroendoscopy for an intracranial optic nerve Schwannoma: A case report Xiao, Jin Ye, Lei Wang, Weihong Cheng, Hongwei Li, Changyuan Luo, Jing Hu, Xiangyang Zhang, Yiquan Medicine (Baltimore) 5300 RATIONALE: Optic Schwannoma is rarely observed clinically as optic nerve had anatomically impossibility for the location of Schwannoma. However, several reports described the established cases of optic Schwannoma, of which the locations were in orbit or within optic canal. The occurrence of optic Schwannoma intracranially has been not reported. PATIENT CONCERNS: A 60-year-old female complained of visual impairment in the right eye and the frequent headache and the dizziness over 2 years with unknown reasons. The result of magnetic resonance imaging (MRI) showed a round, well-circumscribed, heterogeneously enhancing signal with cystic change displayed on the right suprasellar cistern. DIAGNOSES: Intracranial optic Schwannomas. INTERVENTIONS: The patient accepted microneurosurgery assisted by endoscopy. We observed a gray and yellow lesion located near the right anterior clinoid process with a mid-sized cyst. And there was a vague boundary between the tumor and the right optic nerve which was compressed by the tumor. Optic chiasm and left optic nerve were also compressed. Meanwhile, the tumor had also adhesion to the right anterior cerebral artery (ACA). OUTCOMES: After the tumor was totally resected, the patient had satisfactory recovery. LESSONS: We reported an intracranial optic Schwannoma removal with the lateral supraorbital keyhole approach assisted by neuroendoscopy. Intracranial optic Schwannoma was rarely seen clinically. Neuroendoscopy imaging suggested the close relationship between the tumor and ACA, supporting vasculature-origin hypothesis for the optic Schwannoma. Wolters Kluwer Health 2020-06-19 /pmc/articles/PMC7310894/ /pubmed/32569218 http://dx.doi.org/10.1097/MD.0000000000020747 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by/4.0 This is an open access article distributed under the Creative Commons Attribution License 4.0 (CCBY), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. http://creativecommons.org/licenses/by/4.0
spellingShingle 5300
Xiao, Jin
Ye, Lei
Wang, Weihong
Cheng, Hongwei
Li, Changyuan
Luo, Jing
Hu, Xiangyang
Zhang, Yiquan
Microneurosurgical treatment under the guidance of neuroendoscopy for an intracranial optic nerve Schwannoma: A case report
title Microneurosurgical treatment under the guidance of neuroendoscopy for an intracranial optic nerve Schwannoma: A case report
title_full Microneurosurgical treatment under the guidance of neuroendoscopy for an intracranial optic nerve Schwannoma: A case report
title_fullStr Microneurosurgical treatment under the guidance of neuroendoscopy for an intracranial optic nerve Schwannoma: A case report
title_full_unstemmed Microneurosurgical treatment under the guidance of neuroendoscopy for an intracranial optic nerve Schwannoma: A case report
title_short Microneurosurgical treatment under the guidance of neuroendoscopy for an intracranial optic nerve Schwannoma: A case report
title_sort microneurosurgical treatment under the guidance of neuroendoscopy for an intracranial optic nerve schwannoma: a case report
topic 5300
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7310894/
https://www.ncbi.nlm.nih.gov/pubmed/32569218
http://dx.doi.org/10.1097/MD.0000000000020747
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