High cervical neurinoma (C1/C2) diagnosed falsely as multiple sclerosis because of trigeminal neuralgia

Conrad, Bastian; Mergner, Thomas

doi:10.1007/bf00585675

Cited by 7 publications

(3 citation statements)

References 3 publications

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“…(4) reported a case of headache caused by metastatic tumor infiltration in the C2 nerve root. Regarding cervical intradural extramedullary tumor, Garza (5) reported headache of the ipsilateral occipital nerve-innervated region caused by schwannoma that developed in the craniocervical junction, and Conrad and Merger (6) reported trigeminal neuralgia caused by schwannoma that developed in the upper cervical spinal region and pressed the spinal nucleus of the trigeminal nerve, but, to our knowledge, no case of cervicogenic headache caused by an intradural extramedullary tumor that arose from the middle-lower cervical nerve has previously been reported.…”

Section: Discussionmentioning

confidence: 99%

A case of cervicogenic headache caused by C5 nerve root derived shwannoma: Case report

et al. 2016

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Introduction We report a case of cervicogenic headache caused by an intradural extramedullary tumor of the middle cervical spine, which has not previously been reported. Case presentation The patient was a 73-year-old male who visited a physician for a chief complaint of pain from the left lower jaw to the auricle and occipital region. The headache was induced with retroflexion of the neck. On cervical magnetic resonance imaging, an intradural extramedullary tumor was noted on the left side at the C4/5 level. The intradural tumor, which arose from the C5 nerve root, was excised and the pain was resolved. The pathological diagnosis was schwannoma. Conclusion Previously reported cases of spinal cord tumor-induced cervicogenic headache were due to upper cervical spinal tumors. This is the first report that a middle-lower cervical intradural extramedullary tumor caused cervicogenic headache.

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Section: Discussionmentioning

confidence: 99%

A case of cervicogenic headache caused by C5 nerve root derived shwannoma: Case report

et al. 2016

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“…Symptoms and signs are usually diagnostic in nature. However, unusual symptoms of syncopal attacks, migraine headaches, and unrelated motor & sensory symptoms, can lead to misdiagnosis (2,(20)(21)(22)(23)(24) . In one of our case there was history of syncopal attack and fall.…”

Section: Discussionmentioning

confidence: 99%

Microneurosurgical Management of Upper Cervical Spinal Schwannoma: An Experience of 30 Cases

Rahman

Mitra

Habib

et al. 2019

Bangla J. Neurosurgery

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Aim: We prospectively recorded the clinical features, radiological features, surgical approaches & findings, postoperative follow up & ultimate neurological outcome of upper cervical spinal schwannomas and then we evaluated the records retrospectively. Materials and Method: 30 upper cervical spinal schwannomas patient who underwent surgery (microneurosurgically) from 2007 to 2014 in the department of neurosurgery Dhaka Medical College and private hospitals are included in this retrospective study. After operation all patients were followed up regularly both clinically and neuro-radiologically. Results: Out of 30 cases 16 male and 14 females. The male to female ratio was 1.4: 1, Age range from 8 to 60 years with mean age 35 Years. Most of the patients are in middle years age group The mean duration of symptoms at the time of presentation was 32 months (range 06 months-5 years). Four schwannomas were completely extradural, fourteen were intradural and rest twelve were intradural or hourglass type (both extra and intradural) as identified during surgery. The posterior midline approach was used in all patients. A C2 hemilaminectomy or C2 laminectomy with or without cutting of posterior arch of atlas was used for most intradural and large in terdural C2 schwannomas. Tumor removal was complete in all cases. Preservation of the nerve root fibers was not possible in 18 cases and was possible only in 12 cases. In one patients CSF leak developed after operation. One patient who had severe myelopathic features with bed sore failed to improve and expired 5 months after operation. Rest of the patients showed postoperative improvement in their preoperative symptoms and returned to their normal life by the end of sixth month. There was one tumor recurrence in any patient till last follow up. Conclusion: Proper 3-D anatomical orientation & physiological knowledge, deep neuro-radiological observation, pathological appreciations and micro-neurosurgical skill and expertization can make the surgical management of these tumors ( in a surgically complex site) simple with gratifying result (i.e.neurological outcome) without extensive bone removal or soft tissue manipulation through a standard midline posterior approach. Bang. J Neurosurgery 2019; 9(1): 44-48

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“…Unusual symptoms of syncopal attacks, migraine headaches, and unrelated motor and sensory symptoms, however, can lead to misdiagnosis. [9,10] These tumors are slow growing and usually attain a large size before becoming symptomatic. [9] Dumbbell-shaped tumors located elsewhere in the spine are generally classified as intraspinal, foraminal, and extraforaminal.…”

Section: Discussionmentioning

confidence: 99%

Removal of cervical spinal tumor with large inferio.lateral extension through anterolateral (interscalene and transforaminal) approach

Chowdhury

Haque

Kawsar

et al. 2013

Journal of Neurosciences in Rural Practice

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Cervical spinal tumor with large lateral extension is usually removed through posterolateral approach and rarely through anterolateral approach. A young man presented with neck pain and brachialgia. Cervical spinal MRI showed a intraspinal tumor with huge extraforaminal paraspinal extension. We removed the tumor through anterolateral (interscalene and transforaminal) approach. Post operatively patient recovered from his sufferings and returned to normal life. Here we report the case along with operative technical aspects.

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High cervical neurinoma (C1/C2) diagnosed falsely as multiple sclerosis because of trigeminal neuralgia

Cited by 7 publications

References 3 publications

A case of cervicogenic headache caused by C5 nerve root derived shwannoma: Case report

A case of cervicogenic headache caused by C5 nerve root derived shwannoma: Case report

Microneurosurgical Management of Upper Cervical Spinal Schwannoma: An Experience of 30 Cases

Removal of cervical spinal tumor with large inferio.lateral extension through anterolateral (interscalene and transforaminal) approach

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