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종결 Case No. 524 2019-07-01~2019-07-31
출제자 : 차지훈 Hit : 649
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Period 2019-07-01~2019-07-31
Diagnosis intra-axial schwannoma
Gender
  • M
  •  
  • F
Age 36
Clinical information M/36
C.C> headache
진단은?
Discussion : intra-axial schwannoma
Imaging findings
- Intra-axial enhancing tumor with peritumoral edema
- Internal hemorrhage
- Mild increased CBV, high ADC
- No FDG uptake
Review
- Intracranial intraparenchymal schwannoma, unrelated to cranial nerve
- Very rare (about 70 cases reported), 1-2% of intracranial schwannoma
- Preoperative diagnosis is difficult
- Origin: not clear, Schwann cell are not normally present in the cerebral parenchyma.
 Possibly from perivascular nerve plexus, pial cell conversion to Schwann cell
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  • 박채정 연세의대 세브란스병원

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