Hypoglossal neurinoma

Michio Hoshi, Kazunari Yoshida, Kaoru Ogawa, Takeshi Kawase

Research output: Contribution to journalArticlepeer-review

45 Citations (Scopus)

Abstract

Two patients presented with hypoglossal neurinoma extending both intra- and extracranially. A 63-year-old male presented with right trigeminal neuralgia and hypoglossal nerve paresis. The intracranial part of the tumor was removed totally via a suboccipital craniectomy. Over-coagulation of the venous collaterals, particularly the emissary veins, resulted in dural venous sinus thrombosis and cerebellar infarction. Unfortunately this patient died. A 48-year-old male presented with pareses of the VII, IX, X, XI, and XII cranial nerves and cerebellar sign. The tumor extended both extra- and intracranially, and was completely removed by opening the hypoglossal canal and the jugular foramen without over-coagulation of the venous collaterals. Preservation of the venous collaterals is very important for the prevention of postoperative venous complications.

Original languageEnglish
Pages (from-to)489-493
Number of pages5
JournalNeurologia medico-chirurgica
Volume40
Issue number9
DOIs
Publication statusPublished - 2000 Jan 1

Keywords

  • Hypoglossal nerve
  • Hypoglossal nerve paresis
  • Magnetic resonance imaging
  • Neurinoma

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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