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Single-stage total resection of giant dumbbell-shaped hypoglossal schwannoma: a case report

  • Case Report - Brain Tumors
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Abstract

Extensive large dumbbell-shaped hypoglossal schwannoma is extremely rare, and total resection is nearly impossible. We present a case of a 61-year-old male with a giant-size hypoglossal schwannoma with moderate tongue atrophy. The tumor extended from the enlarged hypoglossal canal to the brainstem intradurally and the high cervical region extradurally. Through the extreme lateral infrajugular transcondylar (ELITE) skull base approach, the tumor was totally removed in a single-stage operation. Single-stage total resection is feasible by an experienced skull base team utilizing transcondylar skull base techniques and high cervical dissection.

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Acknowledgments

We thank Ms. Lori Radcliffe for assistance with English language editing.

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No funding was received for this report.

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Correspondence to Takuro Inoue.

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All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest, or non-financial interest in the subject matter or materials discussed in this manuscript.

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All procedures performed in this report involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from the patient in the report.

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Inoue, T., Nonaka, Y., Hirai, H. et al. Single-stage total resection of giant dumbbell-shaped hypoglossal schwannoma: a case report. Acta Neurochir 160, 727–730 (2018). https://doi.org/10.1007/s00701-017-3431-6

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  • DOI: https://doi.org/10.1007/s00701-017-3431-6

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