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Hemorrhagic Necrotic Schwannoma Presenting as Purulent Meningitis

Published online by Cambridge University Press:  18 September 2015

H.C. Onyiuke ,
A. McLean ,
M. Schwartz ,
M. Louie  and
L.C. Ang
H.C. Onyiuke
Affiliation:
Division of Neurosurgery, Sunnybrook Health Centre, University of Toronto, Toronto.
A. McLean*
Affiliation:
Division of Neurosurgery, Sunnybrook Health Centre, University of Toronto, Toronto.
M. Schwartz
Affiliation:
Division of Neurosurgery, Sunnybrook Health Centre, University of Toronto, Toronto.
M. Louie
Affiliation:
Division of Neurosurgery, Sunnybrook Health Centre, University of Toronto, Toronto.
L.C. Ang
Affiliation:
Division of Neurosurgery, Sunnybrook Health Centre, University of Toronto, Toronto.
*
Department of Medicine, Sunnybrook Health Centre, University of Toronto, 2075 Bay view Avenue, Toronto, Ontario, Canada M4N 3M5
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Abstract:

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Background:

Intracranial schwannoma involving the XIIth cranial nerve is rare. We report an unusual clinical presentation and pathological verification of a schwannoma, which had become haemorrhagic and necrotic, simulating acute purulent meningitis.

Methods:

A literature review of intracranial tumors presenting as acute purulent meningitis, with emphasis on schwannomas, was undertaken.

Results:

Few cases of hypoglossal schwannoma have been reported; the association with purulent meningitis has not been previously documented.

Conclusion:

In patients presenting with sterile purulent meningitis, a necrotic tumor should be considered as a possible etiology.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 25 , Issue 2 , February 1998 , pp. 164 - 167
Copyright
Copyright © Canadian Neurological Sciences Federation 1998

References

REFERENCES

1.Russell, DS, Rubinstein, LJ. Pathology of Tumors of the Nervous System. Baltimore: Williams and Wilkins, 1971, 286–294.Google Scholar
2.Rubinstein, LJ. Tumors of the Central Nervous System (Atlas of tumor pathology, 2nd series, fascicle 6). Washington, District of Columbia, Armed Forces Institute of Pathology, 1972, p 206.Google Scholar
3.Ayer, JB. A pathological study of experimental meningitis from subarachnoid inoculation. Rockefeller Inst Mon 1920; 12: 26–44.Google Scholar
4.Walgren, A. Une nouvelle maladie infectiense du system nerveau central? Acta paediatr 1925; 4: 158–165.CrossRefGoogle Scholar
5.Decker, RE, Gross, SW. Intraspinal dermoid tumor presenting as chemical meningitis. J Neurosurg 1967; 27: 60–62.CrossRefGoogle ScholarPubMed
6.Brown, IA, Peyton, W. Brain tumors simulating meningitis. J Neurosurg 1951;8:459–468.CrossRefGoogle ScholarPubMed
7.Eigler, JO, Wellman, WE, Roke, ED, et al. Bacterial meningitis. A general review (294 cases). Proc staff meet Mayo Clin 1961; 36: 357–385.Google ScholarPubMed
8.Soffer, D. Brain tumors, simulating purulent meningitis. Eur Neurology 1976; 14: 193–197.CrossRefGoogle ScholarPubMed
9.Lunardi, P, Missouri, P, Fraioli, B. Chemical meningitis: unusual presentation of a cerebellar astrocytoma: case report and review of the literature. Neurosurgery 1989; 25(2): 264–270.CrossRefGoogle ScholarPubMed
10.Berger, MS, Edwards, MSB, Bingham, GW. Hypoglossal neurilemmoma: case report and review of the literature. Neurosurgery 1982; 10:617–620.CrossRefGoogle ScholarPubMed
11.DeMartel, T, Subirana, A, Guillaume, J. Los tumores de la fossa cerebral posterior: voluminoso neurinoma del hipogloso con desarrollo juxtabulbo-protuberancial. Operacion-curacion. Ars Med Barcelona 1933; 9: 416.Google Scholar
12.Haase, E. Neurinoma of the 12th nerve. J Neuropathol Exp Neurol 1946;5:66–71.CrossRefGoogle Scholar
13.Scott, M, Wycis, HT. Intracranial neurinoma of the hypoglossal nerve: successful removal, case report. J Neurosurg 1949; 6: 333–336.CrossRefGoogle ScholarPubMed
14.Williams, JM, Fox, JL. Neurinoma of the intracranial portion of the hypoglossal nerve: review and case report. J Neurosurg 1962; 19:248–250.CrossRefGoogle ScholarPubMed
15.Morelli, RJ. Intracranial neurilemmoma of the hypoglossal nerve: review and case report. Neurology 1966; 16: 709–713.CrossRefGoogle ScholarPubMed
16.Strang, RR. Intrancranial neurinoma of the hypoglossal nerve. Aust NZJSurg 1967; 37: 187–189.Google Scholar
17.Valvassori, GE, Kirdani, MA. The abnormal hypoglossal canal. Am J Neuroradiol 1967; 99: 705–711.Google ScholarPubMed
18.Arumugasamay, N, Sarvanathan, K, Rudralingam, V, et al. Intracranial hypoglossal neurinomas: a report of two cases. Med J Malaya 1972; 26: 168–172.Google ScholarPubMed
19.Bartal, AD, Djaldetti, MM, Mandel, EM, et al. Dumb-bell neurinoma of the hypoglossal nerve. J Neurol Neurosurg Psychiatry 1973; 36: 592–595.CrossRefGoogle ScholarPubMed
20.Robinson, JS, Lopes, J, Moody, R. Intracranial hypoglossal neurilemmoma. Surg Neurol 1979; 12: 496–498.Google ScholarPubMed
21.Fujiwara, S, Hachisuga, S, Numaguchi, Y. Intracranial hypoglossal neurilemmoma: report of a case. Neuroradiology 1980; 20: 87–90.CrossRefGoogle ScholarPubMed
22.Fujiwara, M, Bitoh, S, Hasegawa, H, Nakata, M. A case of intracranial hypoglossal neurinoma (Japanese). No Shei Geka 1981; 9: 953–958.Google Scholar
23.Ulso, C, Sehestedt, P, Overgaard, J. Intracranial hypoglossal neurinoma: diagnosis and postoperative care. Surg Neurol 1981; 16: 65–68.CrossRefGoogle ScholarPubMed
24.Dolan, EJ, Tucker, WS, Rotenberg, D, et al. Intracranial hypoglossal schwannoma as an unusual case of facial nerve palsy. J Neurosurg 1982; 56: 420–423.CrossRefGoogle ScholarPubMed
25.Tuck, RR, Mokri, B, Cilluffo, JM. Intracranial schwannoma of the hypoglossal nerve. Arch Neurol 1984; 41: 502–505.CrossRefGoogle ScholarPubMed
26.Asari, S, Katayama, S, Itoh, T, et al. Neurinomas presenting as spontaneous intratumoral hemorrhage. Neurosurgery 1992; 31(3): 406–412.CrossRefGoogle ScholarPubMed
27.Kondziolka, D, Bernstein, M, Resch, L, et al. Significance of hemorrhage into brain tumors: clinicopathological study. J Neurosurg 1987;67:852–857.CrossRefGoogle ScholarPubMed
28.Lee, KS, Nagashima, T, Cho, KG, et al. Proliferative activity of neurilemmomas. Surg Neurology 1989; 32: 427–433.CrossRefGoogle Scholar
29.Dolan, E, Gullane, P, Rutka, J. Intracranial hypoglossal neurinoma (Letter to Editor). J Neurosurg 1989; 25(4): 670.CrossRefGoogle Scholar