Intraventricular schwannomas: A case report and a literature review

Author:

Hattab Rashid M.1,Jarrar Zeid2,Al Sharie Sarah3,Al-Hussaini Maysa4ORCID,Obeidat Mouness5

Affiliation:

1. Jordanian Royal Medical Services, Amman, Jordan

2. Faculty of Medicine, University of Jordan, Amman, Jordan

3. Faculty of Medicine, Yarmouk University, Irbid, Jordan

4. Department of Pathology and Laboratory Medicine, King Hussein Cancer Center, Amman, Jordan

5. Department of Surgery, King Hussein Cancer Center, Amman, Jordan

Abstract

Intraventricular schwannomas are extremely rare, typically benign tumors originating from Schwann cells, which are not normally found within the ventricular system. Their presence challenges conventional understanding of tumor origins and complicates diagnosis and management. We report the case of a 19-year-old female presenting with a drop attack and headache, with no significant medical history. MRI revealed a heterogeneously enhancing lesion in the right lateral ventricle. Differential diagnoses included malignant tumors; however, histopathological examination post-surgical resection confirmed an intraventricular schwannoma. Postoperative outcomes were favorable, with successful CSF diversion via a right occipital ventriculoperitoneal shunt for isolated right temporal hydrocephalus. This case is notable for its atypical presentation in a young patient, challenging the conventional understanding that intraventricular schwannomas primarily affect older individuals. In addition, the correct diagnosis and successful management of a rare intraventricular schwannoma underscores the importance of considering this rare diagnosis in patients with nonspecific neurological symptoms and intraventricular lesions. This case, alongside the literature review, enriches the body of evidence on intraventricular schwannomas, highlighting the critical role of surgical intervention and the need for a comprehensive diagnostic approach.

Publisher

SAGE Publications

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