Oculomotor Nerve Schwannoma: A Case Report

Brain Tumor Research and Treatment 2014³â 2±Ç 1È£ p.43 ~ p.47

Á¶¿ëȯ(Cho Yong-Hwan) - Dong-A University College of Medicine Brain Tumor Institute Medical Science Research Center
(Sung Kyung-Su) - Dong-A University College of Medicine Brain Tumor Institute Medical Science Research Center
¼Û¿µÁø(Song Young-Jin) - Dong-A University College of Medicine Brain Tumor Institute Medical Science Research Center
±è´ëö(Kim Dae-Cheol) - Dong-A University College of Medicine Brain Tumor Institute Medical Science Research Center
(Choi Sung-Seob) - Dong-A University College of Medicine Brain Tumor Institute Medical Science Research Center
±è±â¿í(Kim Ki-Uk) - Dong-A University College of Medicine Brain Tumor Institute Medical Science Research Center

Abstract

Schwannomas account for about 8% of intracranial tumors and 90% are vestibular schwannomas. Oculomotor schwannoma without neurofibromatosis is extremely rare. A 41-year-old female presented with complaints of blurred vision, and the neurologic examination revealed afferent pupillary defect and decreased visual acuity of the left side. Brain magnetic resonance image showed an extra axial mass in the left superior orbital fissure. The patient underwent major surgery via the fronto-temporal approach. The tumor originated from the oculomotor nerve and was subtotally removed under microscopic surgery. The pathological findings confirmed the tumor as a schwannoma. After surgery, ptosis and medial gaze limitation of the left eye was detected, but the symptoms improved gradually.

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Schwannoma, Oculomotor nerve, Surgery
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