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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

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