Volume 10, Pages (December 2017)

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Volume 10, Pages 40-43 (December 2017) Multiple inherited Schwannomas, meningiomas, and ependymomas (MISME): A case report on rare case of neurofibromatosis type 2 tumors Ahmad Faried, MD, PhD, Guata Naibaho, MD, Rully Hanafi Dahlan, MD, MSc, Roland Sidabutar, MD, MSc, Sevline Estethia Ompusunggu, MD, MSc, Muhammad Zafrullah Arifin, MD, PhD Interdisciplinary Neurosurgery: Advanced Techniques and Case Management Volume 10, Pages 40-43 (December 2017) DOI: 10.1016/j.inat.2017.06.002 Copyright © 2017 The Authors Terms and Conditions

Fig. 1 (A) Clinical feature of the patient. (B) Brain MRI of mass lesions exhibiting isointense signal to gray matter on T1/T2 and postcontrast enhancement at bilateral CPA affecting acoustic nerves and enlargement of the internal meatus canal. (C) MRI of thoracolumbar spine showed a dumbbell shaped mass at VT 8 level, an enhanced with contrast lesion VT 9–11 which also significantly compressed the spinal cord, and presenting syrinx on the VT 5–7 and VT 11–12. Interdisciplinary Neurosurgery: Advanced Techniques and Case Management 2017 10, 40-43DOI: (10.1016/j.inat.2017.06.002) Copyright © 2017 The Authors Terms and Conditions

Fig. 2 (A–B) CTR for the cranial tumor. (C–D) Two white solid masses with defined borders found during the cranial operation and the tumors were totally removed; (E–F) Sheets in intertwining fascicles in both solid masses for Antoni A and looser arrangements for Antoni B. Interdisciplinary Neurosurgery: Advanced Techniques and Case Management 2017 10, 40-43DOI: (10.1016/j.inat.2017.06.002) Copyright © 2017 The Authors Terms and Conditions

Fig. 3 (A–B) Laminectomy tumor removal and posterior stabilization At VT 8, there was a mass alongside the left radix, well circumscribed, white colored and soft to hard consistency. (C–D) Second tumor was directly aside to the first tumor, only separated by duramater. (E–F) Third tumor was found intramedullary at VT 9–11. (G) Pathology anatomy results reveal of fibroblastic meningioma (upper), meningotheliomatous meningioma (middle) and ependymoma (lower) for the 3rd spine tumor, respectively. Interdisciplinary Neurosurgery: Advanced Techniques and Case Management 2017 10, 40-43DOI: (10.1016/j.inat.2017.06.002) Copyright © 2017 The Authors Terms and Conditions