Supratentorial intraparenchymal schwannoma: Systematic review of the literature with an illustrative case.
Adrian E Jimenez, Helen Ellsworth, Gunnar Hargas et al.
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Case in brief
A 23-year-old female presented with a right frontal intraparenchymal schwannoma, which was successfully resected via craniotomy. Postoperative pathology confirmed a WHO grade I schwannoma, with specific immunohistochemical markers and a detected CHD7-VGLL3 fusion. The patient achieved gross total resection and demonstrated a favorable postoperative course.
Diagnostic / clinical pearl
Intraparenchymal schwannomas are rare CNS tumors that can present with seizures; surgical resection may lead to significant seizure-freedom in most patients.
Why it matters
This case highlights the importance of recognizing intraparenchymal schwannomas as a potential cause of seizures and provides valuable postoperative seizure-freedom estimates for this rare tumor type.