Holodny A I, Kirsch C F, Hameed M, Sclar G
Department of Radiology, New Jersey Medical School, University Hospital, 150 Bergen Street, Newark, NJ 07103, USA.
AJNR Am J Neuroradiol. 2001 May;22(5):876-9.
Tumefactive fibroinflammatory lesions of the head and neck are rare. CNS involvement has not been reported. We present a histologically proven case of a tumefactive fibroinflammatory lesion that originated in the left side of the neck and progressed over 2 years to involve the meninges, the cavernous sinuses, the right temporal lobe, and the right orbit. The lesion caused destruction of the skull base and a subdural hematoma. The relationship of the present lesion to idiopathic hypertrophic pachymeningitis and Tolosa-Hunt syndrome is discussed.
头颈部的肿胀性纤维炎性病变较为罕见。尚未有中枢神经系统受累的报道。我们报告一例经组织学证实的肿胀性纤维炎性病变病例,该病变起源于左侧颈部,在2年时间里进展至累及脑膜、海绵窦、右侧颞叶及右侧眼眶。该病变导致颅底破坏及硬膜下血肿形成。本文讨论了该病变与特发性肥厚性硬脑膜炎及托洛萨-亨特综合征的关系。