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Spontaneous regression of a cystic hypoglossal schwannoma causing unilateral tongue atrophy
Abstract A 60-year-old lady presented with intermittent headaches. Examination revealed striking marked unilateral tongue atrophy. Magnetic resonance imaging (MRI) revealed a cystic lesion in the hypoglossal canal and a provisional diagnosis of cystic hypoglossal schwannoma made. Annual surveillance...
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| Published in: | British journal of neurosurgery 2014-01, Vol.28 (1), p.133-134 |
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| Main Authors: | , , , |
| Format: | Article |
| Language: | English |
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| cited_by | cdi_FETCH-LOGICAL-c446t-590d7c008b802da1dbc9daa39b5a027139cb8a2525eff674f91d16ada5ae4d173 |
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| cites | cdi_FETCH-LOGICAL-c446t-590d7c008b802da1dbc9daa39b5a027139cb8a2525eff674f91d16ada5ae4d173 |
| container_end_page | 134 |
| container_issue | 1 |
| container_start_page | 133 |
| container_title | British journal of neurosurgery |
| container_volume | 28 |
| creator | Durnford, Andrew J. Harrisson, Stuart E. Ditchfield, Adam Shenouda, Emad |
| description | Abstract
A 60-year-old lady presented with intermittent headaches. Examination revealed striking marked unilateral tongue atrophy. Magnetic resonance imaging (MRI) revealed a cystic lesion in the hypoglossal canal and a provisional diagnosis of cystic hypoglossal schwannoma made. Annual surveillance scans showed stable appearances but surprisingly at 3 years they showed a significant reduction in the size of the lesion. Most patients with hypoglossal schwannomas present with ipsilateral hypoglossal nerve palsy; careful cranial nerve examination is vital in diagnosing such rare lesions. Little is known of their natural history, with most lesions undergoing surgery. This case highlights spontaneous regression following non-operative management. |
| doi_str_mv | 10.3109/02688697.2013.815321 |
| format | article |
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A 60-year-old lady presented with intermittent headaches. Examination revealed striking marked unilateral tongue atrophy. Magnetic resonance imaging (MRI) revealed a cystic lesion in the hypoglossal canal and a provisional diagnosis of cystic hypoglossal schwannoma made. Annual surveillance scans showed stable appearances but surprisingly at 3 years they showed a significant reduction in the size of the lesion. Most patients with hypoglossal schwannomas present with ipsilateral hypoglossal nerve palsy; careful cranial nerve examination is vital in diagnosing such rare lesions. Little is known of their natural history, with most lesions undergoing surgery. This case highlights spontaneous regression following non-operative management.</description><identifier>ISSN: 0268-8697</identifier><identifier>EISSN: 1360-046X</identifier><identifier>DOI: 10.3109/02688697.2013.815321</identifier><identifier>PMID: 23855391</identifier><language>eng</language><publisher>England: Informa Healthcare</publisher><subject>Atrophy - etiology ; Atrophy - pathology ; Brain ; Cranial Nerve Neoplasms - complications ; Cranial Nerve Neoplasms - pathology ; Cysts - complications ; Cysts - pathology ; Female ; Humans ; hypoglossal nerve ; Hypoglossal Nerve Diseases - complications ; Hypoglossal Nerve Diseases - pathology ; Medical diagnosis ; Middle Aged ; Neoplasm Regression, Spontaneous ; Neurilemmoma - complications ; Neurilemmoma - pathology ; Neurosurgery ; NMR ; Nuclear magnetic resonance ; Regression analysis ; schwannoma ; Tongue - pathology ; tongue atrophy</subject><ispartof>British journal of neurosurgery, 2014-01, Vol.28 (1), p.133-134</ispartof><rights>2014 The Neurosurgical Foundation 2014</rights><rights>Copyright Taylor & Francis Ltd. Jan 2014</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c446t-590d7c008b802da1dbc9daa39b5a027139cb8a2525eff674f91d16ada5ae4d173</citedby><cites>FETCH-LOGICAL-c446t-590d7c008b802da1dbc9daa39b5a027139cb8a2525eff674f91d16ada5ae4d173</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23855391$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Durnford, Andrew J.</creatorcontrib><creatorcontrib>Harrisson, Stuart E.</creatorcontrib><creatorcontrib>Ditchfield, Adam</creatorcontrib><creatorcontrib>Shenouda, Emad</creatorcontrib><title>Spontaneous regression of a cystic hypoglossal schwannoma causing unilateral tongue atrophy</title><title>British journal of neurosurgery</title><addtitle>Br J Neurosurg</addtitle><description>Abstract
A 60-year-old lady presented with intermittent headaches. Examination revealed striking marked unilateral tongue atrophy. Magnetic resonance imaging (MRI) revealed a cystic lesion in the hypoglossal canal and a provisional diagnosis of cystic hypoglossal schwannoma made. Annual surveillance scans showed stable appearances but surprisingly at 3 years they showed a significant reduction in the size of the lesion. Most patients with hypoglossal schwannomas present with ipsilateral hypoglossal nerve palsy; careful cranial nerve examination is vital in diagnosing such rare lesions. Little is known of their natural history, with most lesions undergoing surgery. This case highlights spontaneous regression following non-operative management.</description><subject>Atrophy - etiology</subject><subject>Atrophy - pathology</subject><subject>Brain</subject><subject>Cranial Nerve Neoplasms - complications</subject><subject>Cranial Nerve Neoplasms - pathology</subject><subject>Cysts - complications</subject><subject>Cysts - pathology</subject><subject>Female</subject><subject>Humans</subject><subject>hypoglossal nerve</subject><subject>Hypoglossal Nerve Diseases - complications</subject><subject>Hypoglossal Nerve Diseases - pathology</subject><subject>Medical diagnosis</subject><subject>Middle Aged</subject><subject>Neoplasm Regression, Spontaneous</subject><subject>Neurilemmoma - complications</subject><subject>Neurilemmoma - pathology</subject><subject>Neurosurgery</subject><subject>NMR</subject><subject>Nuclear magnetic resonance</subject><subject>Regression analysis</subject><subject>schwannoma</subject><subject>Tongue - pathology</subject><subject>tongue atrophy</subject><issn>0268-8697</issn><issn>1360-046X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><recordid>eNp9kE2L1TAUhoMozp3RfyBScOOm13y32Sgy6CgMuFBBcBFOk_S2Q5vUJGXov7elM6IuZpXFec5z8r4IvSD4yAhWbzCVdS1VdaSYsGNNBKPkEToQJnGJufzxGB02pNyYM3Se0g3GhApcPUVnlNVCMEUO6OfXKfgM3oU5FdGdokupD74IbQGFWVLuTdEtUzgNISUYimS6W_A-jOsU5tT7UzH7foDs4jrNwZ9mV0COYeqWZ-hJC0Nyz-_eC_T944dvl5_K6y9Xny_fX5eGc5lLobCtDMZ1U2NqgdjGKAvAVCMA04owZZoaqKDCta2seKuIJRIsCHDckopdoNe7d4rh1-xS1mOfjBuGPZYmXFGpal7JFX31H3oT5ujX320UJ5QKxVeK75SJa-roWj3FfoS4aIL1Vr6-L19v5eu9_HXt5Z18bkZn_yzdt70C73ag922II9yGOFidYRlCbCN406dN_-CJt_8YOgdD7gxE91eQhwS_ARS4qFo</recordid><startdate>20140101</startdate><enddate>20140101</enddate><creator>Durnford, Andrew J.</creator><creator>Harrisson, Stuart E.</creator><creator>Ditchfield, Adam</creator><creator>Shenouda, Emad</creator><general>Informa Healthcare</general><general>Taylor & Francis</general><general>Taylor & Francis Ltd</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>K9.</scope><scope>7X8</scope></search><sort><creationdate>20140101</creationdate><title>Spontaneous regression of a cystic hypoglossal schwannoma causing unilateral tongue atrophy</title><author>Durnford, Andrew J. ; Harrisson, Stuart E. ; Ditchfield, Adam ; Shenouda, Emad</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c446t-590d7c008b802da1dbc9daa39b5a027139cb8a2525eff674f91d16ada5ae4d173</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Atrophy - etiology</topic><topic>Atrophy - pathology</topic><topic>Brain</topic><topic>Cranial Nerve Neoplasms - complications</topic><topic>Cranial Nerve Neoplasms - pathology</topic><topic>Cysts - complications</topic><topic>Cysts - pathology</topic><topic>Female</topic><topic>Humans</topic><topic>hypoglossal nerve</topic><topic>Hypoglossal Nerve Diseases - complications</topic><topic>Hypoglossal Nerve Diseases - pathology</topic><topic>Medical diagnosis</topic><topic>Middle Aged</topic><topic>Neoplasm Regression, Spontaneous</topic><topic>Neurilemmoma - complications</topic><topic>Neurilemmoma - pathology</topic><topic>Neurosurgery</topic><topic>NMR</topic><topic>Nuclear magnetic resonance</topic><topic>Regression analysis</topic><topic>schwannoma</topic><topic>Tongue - pathology</topic><topic>tongue atrophy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Durnford, Andrew J.</creatorcontrib><creatorcontrib>Harrisson, Stuart E.</creatorcontrib><creatorcontrib>Ditchfield, Adam</creatorcontrib><creatorcontrib>Shenouda, Emad</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Durnford, Andrew J.</au><au>Harrisson, Stuart E.</au><au>Ditchfield, Adam</au><au>Shenouda, Emad</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Spontaneous regression of a cystic hypoglossal schwannoma causing unilateral tongue atrophy</atitle><jtitle>British journal of neurosurgery</jtitle><addtitle>Br J Neurosurg</addtitle><date>2014-01-01</date><risdate>2014</risdate><volume>28</volume><issue>1</issue><spage>133</spage><epage>134</epage><pages>133-134</pages><issn>0268-8697</issn><eissn>1360-046X</eissn><abstract>Abstract
A 60-year-old lady presented with intermittent headaches. Examination revealed striking marked unilateral tongue atrophy. Magnetic resonance imaging (MRI) revealed a cystic lesion in the hypoglossal canal and a provisional diagnosis of cystic hypoglossal schwannoma made. Annual surveillance scans showed stable appearances but surprisingly at 3 years they showed a significant reduction in the size of the lesion. Most patients with hypoglossal schwannomas present with ipsilateral hypoglossal nerve palsy; careful cranial nerve examination is vital in diagnosing such rare lesions. Little is known of their natural history, with most lesions undergoing surgery. This case highlights spontaneous regression following non-operative management.</abstract><cop>England</cop><pub>Informa Healthcare</pub><pmid>23855391</pmid><doi>10.3109/02688697.2013.815321</doi><tpages>2</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0268-8697 |
| ispartof | British journal of neurosurgery, 2014-01, Vol.28 (1), p.133-134 |
| issn | 0268-8697 1360-046X |
| language | eng |
| recordid | cdi_informahealthcare_journals_10_3109_02688697_2013_815321 |
| source | Taylor and Francis:Jisc Collections:Taylor and Francis Read and Publish Agreement 2024-2025:Medical Collection (Reading list) |
| subjects | Atrophy - etiology Atrophy - pathology Brain Cranial Nerve Neoplasms - complications Cranial Nerve Neoplasms - pathology Cysts - complications Cysts - pathology Female Humans hypoglossal nerve Hypoglossal Nerve Diseases - complications Hypoglossal Nerve Diseases - pathology Medical diagnosis Middle Aged Neoplasm Regression, Spontaneous Neurilemmoma - complications Neurilemmoma - pathology Neurosurgery NMR Nuclear magnetic resonance Regression analysis schwannoma Tongue - pathology tongue atrophy |
| title | Spontaneous regression of a cystic hypoglossal schwannoma causing unilateral tongue atrophy |
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