Clinical Neuroradiology

, Volume 28, Issue 1, pp 127–135 | Cite as

Intra-Suprasellar Schwannoma Presumably Originating from the Internal Carotid Artery Wall

Case Report and Review of the Literature
  • Sohi Bae
  • Sung Soo AhnEmail author
  • Jong Hee Chang
  • Se Hoon Kim


Intracranial schwannomas are common but intra-suprasellar schwannomas are extremely rare. We represent the case of a 57-year-old woman with an intra-suprasellar tumor that was presurgically diagnosed as an anterior clinoidal meningioma. Intraoperatively it adhered tightly to the internal carotid artery wall and could not easily be dissected, possibly leading to profuse hemorrhage and sacrifice of the carotid artery with coil embolization. Histopathology demonstrated a schwannoma. We reviewed and summarized the clinical, imaging, and intraoperative findings of previously reported intra-suprasellar schwannomas.


Schwannoma Internal carotid artery Perivascular Sellar Suprasellar 


Compliance with ethical guidelines

Conflict of interest

S. Bae, S.S. Ahn, J.H. Chang and S.H. Kim declare that they have no competing interests.

Ethical standards

This study obtained approval from the Yonsei University Institutional Review Board, approval number 4-2016-1160 and has therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki and its later amendments.


  1. 1.
    Sharifi G, Bakhtevari MH, Alghasi M, Saberi M, Dehghan M, Bidari F, Rezaei O. Hard calcified intrasellar schwannoma mimicking pituitary adenoma: a case report and review of the literature. Clin Neurol Neurosurg. 2015;137:38–43.CrossRefPubMedGoogle Scholar
  2. 2.
    Johnsen DE, Woodruff WW, Allen IS, Cera PJ, Funkhouser GR, Coleman LL. MR imaging of the sellar and juxtasellar regions. Radiographics. 1991;11(5):727–58.CrossRefPubMedGoogle Scholar
  3. 3.
    Maartens NF, Ellegala DB, Vance ML, Lopes MB, Laws ER Jr.. Intrasellar schwannomas: report of two cases. Neurosurgery. 2003;52(5):1200–5; discussion 1205–6.PubMedGoogle Scholar
  4. 4.
    Penfield W. Intracerebral vascular nerves. Arch Neurol Psychiatry. 1932;27(1):30–44.CrossRefGoogle Scholar
  5. 5.
    Kim NR, Suh YL. Primary Intrasellar Schwannoma: a case report. Korean J Pathol. 2002;36(4):274–7.Google Scholar
  6. 6.
    Honegger J, Koerbel A, Psaras T, Petrick M, Mueller K. Primary intrasellar schwannoma: clinical, aetiopathological and surgical considerations. Br J Neurosurg. 2005;19(5):432–8.CrossRefPubMedGoogle Scholar
  7. 7.
    Dietemann JL, Kehrli P, Maillot C, Diniz R, Reis M Jr, Neugroschl C, Vinclair L. Is there a dural wall between the cavernous sinus and the pituitary fossa? Anatomical and MRI findings. Neuroradiology. 1998;40(10):627–30.CrossRefPubMedGoogle Scholar
  8. 8.
    Koutourousiou M, Kontogeorgos G, Wesseling P, Grotenhuis AJ, Seretis A. Collision sellar lesions: experience with eight cases and review of the literature. Pituitary. 2010;13(1):8–17.CrossRefPubMedGoogle Scholar
  9. 9.
    Kong X, Wu H, Ma W, Li Y, Yang Y, Xing B, Wei J, Yao Y, Gao J, Lian W, Xu Z, Dou W, Ren Z, Su C, Wang R. Schwannoma in sellar region mimics invasive pituitary macroadenoma: literature review with one case report. Medicine (Baltimore). 2016;95(9):e2931.CrossRefGoogle Scholar
  10. 10.
    McLendon RE, Rosenblum MK, Bigner DD. Russell & Rubinstein’s Pathology of Tumors of the Nervous System, 7th ed. New York: CRC Press; 2006. ISBN 9780340810071.CrossRefGoogle Scholar
  11. 11.
    Goebel H, Shimokawa K, Schaake T, Kremp A. Schwannoma of the sellar region. Acta Neurochir (Wien). 1979;48(3):191–7.CrossRefGoogle Scholar
  12. 12.
    Kasantikul V, Shuangshoti S, Preechayudh P, Wangsuphachart S. A combined neurilemmoma and angioma of the parasellar region: case report. J Neurosurg. 1987;67(2):307–11.CrossRefPubMedGoogle Scholar
  13. 13.
    Civit T, Pinelli C, Klein M, Auque J, Baylac F, Hepner H. Intrasellar schwannoma. Acta Neurochir (Wien). 1997;139(2):160–1.CrossRefGoogle Scholar
  14. 14.
    Park HW, Jung S, Jung TY, Moon KS. Intra-suprasellar schwannoma originating from the diaphragma sellae. J Korean Neurosurg Soc. 2009;45(6):375–7.CrossRefPubMedPubMedCentralGoogle Scholar
  15. 15.
    Mohammed S, Kovacs K, Munoz D, Cusimano MD. A short illustrated review of sellar region schwannomas. Acta Neurochir (Wien). 2010;152(5):885–91.CrossRefGoogle Scholar
  16. 16.
    Chadduck WM. Unusual lesions involving the sella turcica. South Med J. 1973;66(8):948–55.CrossRefPubMedGoogle Scholar
  17. 17.
    Perone TP, Robinson B, Holmes SM. Intrasellar schwannoma: case report. Neurosurgery. 1984;14(1):71–3.CrossRefPubMedGoogle Scholar
  18. 18.
    Ishige N, Ito C, Saeki N, Oka N. Neurinoma with intrasellar extension: a case report. No Shinkei Geka. 1985;13(1):79–84.PubMedGoogle Scholar
  19. 19.
    Wilberger JE Jr.. Primary intrasellar schwannoma: case report. Surg Neurol. 1989;32(2):156–8.CrossRefPubMedGoogle Scholar
  20. 20.
    Guenot M, Bataille B, Wager M. Intrasellar neurinoma. Apropos of a case and review of the literature. Neurochirurgie. 1994;40(4):263–6.PubMedGoogle Scholar
  21. 21.
    Whee SM, Lee JI, Kim JH. Intrasellar schwannoma mimicking pituitary adenoma: a case report. J Korean Med Sci. 2002;17(1):147–50.CrossRefPubMedPubMedCentralGoogle Scholar
  22. 22.
    Bhagat S, Smith C, Teasdale GM, McFadzean RM. Nerve sheath tumors of the sellar region. J Neuroophthalmol. 2002;22(4):275–8.CrossRefPubMedGoogle Scholar
  23. 23.
    Esposito F, Cappabianca P, Del Basso De Caro M, Cavallo LM, Rinaldi C, De Divitiis E. Endoscopic endonasal transsphenoidal removal of an intra-suprasellar schwannoma mimicking a pituitary adenoma. Minim Invasive Neurosurg. 2004;47(4):230–4.CrossRefPubMedGoogle Scholar
  24. 24.
    Perez MT, Farkas J, Padron S, Changus JE, Webster EL. Intrasellar and parasellar cellular schwannoma. Ann Diagn Pathol. 2004;8(3):142–50.CrossRefPubMedGoogle Scholar
  25. 25.
    Yoon WS, Park IS, Baik MW. Intrasellar schwannomas. J Korean Neurosurg Soc. 2005;37:157–9.Google Scholar
  26. 26.
    Moreland DB. Intrasellar pituitary schwannoma. J Clin Neurosci. 2006;13(7):771–4.CrossRefPubMedGoogle Scholar
  27. 27.
    Rodriguez FJ, Atkinson JL, Giannini C. Massive sellar and parasellar schwannoma. Arch Neurol. 2007;64(8):1198–9.CrossRefPubMedGoogle Scholar
  28. 28.
    Boj Carceller D, Albero Gamboa R, Verdes Sanz G, Vicente Arregui S, Alvarez Alegret R. Intrasellar schwannoma: a rare case of pituitary incidentaloma. Endocrinol Nutr. 2012;59(5):336–8.CrossRefPubMedGoogle Scholar
  29. 29.
    Cugati G, Singh M, Symss NP, Pande A, Yasha TC, Vasudevan MC, Ramamurthi R. Primary intrasellar schwannoma. J Clin Neurosci. 2012;19(11):1584–5.CrossRefPubMedGoogle Scholar
  30. 30.
    Liu M, Ouyang YU, Lv F. Computed tomography and magnetic resonance imaging findings of intrasellar schwannoma: A case report and literature review. Oncol Lett. 2016;11(3):2315–9.CrossRefPubMedPubMedCentralGoogle Scholar
  31. 31.
    Zhang J, Xu S, Liu Q, Li X, Jia D, Li G. Intrasellar and Suprasellar Schwannoma misdiagnosed as pituitary Macroadenoma: a case report and review of the literature. World Neurosurg. 2016;96(612):e1–e7.Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2017

Authors and Affiliations

  1. 1.Department of Radiology and Research Institute of Radiological ScienceYonsei University College of MedicineSeoulKorea (Republic of)
  2. 2.Department of NeurosurgeryYonsei University College of MedicineSeoulKorea (Republic of)
  3. 3.Department of PathologyYonsei University College of MedicineSeoulKorea (Republic of)

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