Cystic Dumbbell-Shaped C1 Schwannoma with Intracranial Extension and Hydrocephalus

Yusuke Matsui, Mariko Fukumura, Masahiro Toda

Research output: Contribution to journalArticlepeer-review

Abstract

Background: Schwannomas at the craniocervical junction commonly originate from the lower cranial nerves or C1 and C2 nerves. To date, very few cases of C1 schwannomas have been described in the literature, and the majority involve either the intra- or the extradural compartment, but not both. To our knowledge, this report documents the first case of a dumbbell-shaped C1 schwannoma that encompassed both intra- and extradural compartments and was accompanied by hydrocephalus. Case Description: The patient was admitted to our hospital, where magnetic resonance imaging revealed a tumor at the craniocervical junction, extending from the C1 level of the right first cervical vertebra into the cerebellopontine angle with 2 giant cysts. We removed the tumor by performing a midline posterior craniectomy and cervical laminectomy. Intraoperatively, the tumor was found to originate from the right C1 posterior root. The pathological diagnosis was of a schwannoma. The patient was subsequently discharged without any neurologic deficits. Conclusions: To our knowledge, we present the first case of a dumbbell-shaped C1 schwannoma with intracranial extensions and accompanying hydrocephalus. The tumor had spread inside and outside the dura, but was safely removed. Our findings in this case emphasize that to achieve safe resection, detailed case-specific preoperative consideration is essential.

Original languageEnglish
Pages (from-to)24-28
Number of pages5
JournalWorld neurosurgery
Volume148
DOIs
Publication statusPublished - 2021 Apr

Keywords

  • C1 schwannoma
  • Cyst formation
  • Dumbbell-shaped schwannoma
  • Hydrocephalus
  • Intracranial extension

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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