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- W2041181923 abstract "We report an uncommon case of a surgical resection of a fourth ventricle tumor in an adult that proved to be a schwannoma.A 53-year-old man presented with a 1.5-year history of gait unsteadiness and vertigo and a few-week history of headache, emesis, and neurogenic dysphagia. A brain magnetic resonance imaging revealed a large, heterogeneously contrast enhancing mass located within the fourth ventricle, compressing the brainstem and causing supratentorial ventricle enlargement. A suboccipital craniotomy and a telovelar approach were performed to resect the tumor. The ventricular system was repermeabilized at the end of the operation.A postoperative magnetic resonance imaging confirmed complete tumor removal. There was an initial worsening of the preoperative deficits, which progressively improved. The tumor was classified as a fourth ventricle schwannoma. There has been no evidence of tumor recurrence during the 6 years of follow-up. At present, the patient is ambulatory and reports an intermittent diplopia on conjugated gaze.This case report intends to reveal the eighth case of a fourth ventricle schwannoma since 1957. Schwannomas of the fourth ventricle are infrequent but should be accounted in the differential diagnosis of space-occupying lesions in this location. Gross total resection might be the definite treatment of these tumors if deemed possible." @default.
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- W2041181923 date "2015-11-01" @default.
- W2041181923 modified "2023-10-15" @default.
- W2041181923 title "Schwannoma of the Fourth Ventricle: The Eighth Case Report" @default.
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- W2041181923 doi "https://doi.org/10.1016/j.wneu.2015.04.036" @default.
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