Transmodiolar dumbbell schwannoma.

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Presentation transcript:

Transmodiolar dumbbell schwannoma. Transmodiolar dumbbell schwannoma. A, Axial contrast-enhanced T1-weighted MR image (800/27/2) at the level of the IAC shows an enhancing mass in the fundus of the IAC (open arrow) with extension into the cochlea (large white arrow). The schwannoma extends through the cochlear aperture (small white arrow) and modiolus.B, Axial high-resolution FSE T2-weighted MR image (4000/102/6) at the level of the IAC shows the transmodiolar schwannoma as a hypointense mass that has replaced the normal fluid of the cochlea (large white arrow). The intracanalicular portion of the mass displaced the normal fluid of the fundus of the IAC (curved white arrow). The vestibule is normal and fluid filled (small white arrow).C, Axial high-resolution FSE T2-weighted MR image (4000/102/6) shows the normal right membranous labyrinthine structures. The normal cochlea (large open arrow) and vestibule (white arrow) are fluid-filled. The central bony modiolus (curved white arrow) through which the cochlear nerve fibers travel is well seen. The cerebellar flocculus (small open arrow) is a common cerebellopontine angle “pseudomass.” Used by permission (37). Karen L. Salzman et al. AJNR Am J Neuroradiol 2001;22:1368-1376 ©2001 by American Society of Neuroradiology