CT and MRI findings of intra-parenchymal and intra-ventricular schwannoma: a series of seven cases.

BMC Med Imaging

Department of Radiology, Affiliated Hospital of Guilin Medical University, No.15 Lequn Road, Xiufeng District, Guilin City, Guangxi, 541001, People's Republic of China.

Published: November 2022

Objective: To analyze the computed tomography (CT) and magnetic resonance imaging (MRI) features of patients with intra-parenchymal and intra-ventricular schwannoma.

Methods: The CT and MRI features of seven cases with intra-parenchymal and intra-ventricular schwannoma were analyzed retrospectively.

Results: There were four men and three women (median age, 25 years; range, 12-42 years) in this study. The median tumor size was 4.4 cm (range, 3.1-6.5 cm). The mass was, respectively, round in four cases (57.1%), lobulated in two cases (28.6%) and oval in one case (14.3%). All tumors were well-circumscribed. Septa in the mass could be observed in three cases (42.9%), and nodular calcification was observed in two cases (28.6%), which peritumoral edema (n = 3, 42.9%) and hydrocephalus (n = 3, 42.9%) could be observed. Most of these lesions (n = 6) presented iso-hypointensity on T1-weighted images and iso-hyperintensity on T2-weighted images, except one lesion showing low intensity on T2WI. In addition, a fluid-fluid level was observed in one case. After contrast agents' injection, all masses illustrated heterogeneously moderate to marked enhancement.

Conclusions: A well-defined solid and cystic mass with calcification and moderate to marked delayed enhancement may be an objective account of intra-parenchymal or intra-ventricular schwannoma.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9670463PMC
http://dx.doi.org/10.1186/s12880-022-00917-zDOI Listing

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