Kumar R, Jain V K, Krisnani N
Department of Neurosurgery, Sanjay Gandhi Postgraduate Institute of Medical Science, Lucknow, Uttar Pradesh, India.
Neurol India. 1999 Mar;47(1):71-3.
A case of choroid plexus papilloma resembling meningioma of cerebellopontine (CP) angle with its extension to foramen magnum is presented. Occurrence of this tumour in CP angle is very rare. Its extension towards foramen magnum is further rare. It was a real diagnostic enigma preoperatively as the tumour was resembling meningioma upto some extent on radiological study. Retromastoid craniectomy with microsurgical excision of tumour and its extension was achieved in toto. Tumour was attached to few rootlets of lower cranial nerves which were preserved. Attachment of the tumour with lower cranial nerves again caused diagnostic confusion with neurofibroma intraoperatively.
本文报告一例小脑桥脑角(CP角)脉络丛乳头状瘤,肿瘤延伸至枕骨大孔,该肿瘤在CP角极为罕见,向枕骨大孔延伸更是罕见。术前诊断颇具谜团,因为影像学检查显示肿瘤在一定程度上类似脑膜瘤。通过乳突后颅骨切除术,实现了肿瘤及其延伸部分的显微外科全切。肿瘤附着于少数低位颅神经的神经根,术中予以保留。肿瘤与低位颅神经的附着关系在术中再次造成与神经纤维瘤的诊断混淆。