A Case of Giant Neck Schwannoma Causing Hemiplegia

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  • 上下肢麻痺を摘出術で改善させることができた巨大頸部神経鞘腫例
  • 臨床 上下肢麻痺を摘出術で改善させることができた巨大頸部神経鞘腫例
  • リンショウ ジョウ カシ マヒ オ テキシュツジュツ デ カイゼン サセル コト ガ デキタ キョダイ ケイブ シンケイショウ シュレイ

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Abstract

A 60-year-old man seen for a giant right cervical mass and hemiplegic gait disturbance was found in computed tomography (CT) and magnetic resonance imaging (MRI) to have a large cervical tumor pressing laterally on the carotid artery in the right parapharyngeal space and an intracranial tumor destroying the first cervical spine and cranial base. Cervical tumor biopsy identified schwannoma. Fluid volume from the cervical tumor discharged after biopsy and relieving left arm and leg weakness indicated that the cervical tumor, deriving from the sympathetic nerve, had adversely affected neurological signs via the intracranial mass derived from the cervical spinal radix. We removed the cervical tumor prior to the intracranial lesion, after which he could walk independently.<br>

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