Skull base schwannoma

Case contributed by Dr Andrew Dixon

Presentation

Right hypoglossal nerve palsy ?cause

Patient Data

Age: 75 years
Gender: Female
MRI

Lobulated, well-defined, high T2 isointense T1, enhancing right skull base lesion involving the petrous apex, clivus and occipital condyle. There is involvement of the internal acoustic canal, jugular foramen and hypoglossal canal. Meckel's cave is displaced superiorly by the mass.  A portion of the mass extends into the infratemporal fossa via the jugular/hypoglossal foramina. There is atrophy of the right side of the tongue with high T2 and T1 signal in keeping with chronic right hypoglossal nerve palsy. 

Case Discussion

Pathologically proven skull base schwannoma with associated hypoglossal nerve denervation. 

PlayAdd to Share

Case information

rID: 69713
Published: 19th Jul 2019
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

Updating… Please wait.

 Unable to process the form. Check for errors and try again.

 Thank you for updating your details.