Ichihashi T, Harano H, Sugiyama T, Maeda M, Iwata K
Department of Neurosurgery, Fukuroi Municipal Hospital, Shizuoka, Japan.
No To Shinkei. 1992 Oct;44(10):917-21.
A 38-year-old man developing slowly progressive left facial paresis was admitted to our hospital. The clinical diagnosis of "adhesive arachnoiditis was made. The first operation was performed in December 1987, and his symptom disappeared postoperatively. Three years later, left facial paresis recurred together with trunkal ataxia. A computed tomography and magnetic resonance image revealed two tumors located at the left cerebellopontine angle region and in the left middle cerebral fossa. These two tumors were thought to arise in the different cranial nerve. Under the clinical diagnosis of acoustic neurinoma associated with facial nerve neurinoma, the two step-operation was designed for total removal of the tumor in December 1990 and January 1991. Intraoperative finding confirmed that these two tumors had the different origin. Pathologic diagnosis was compatible with neurinoma. This patient had no family history of "Neurofibromatosis".
一名38岁男性，因左侧面部进行性迟缓性麻痹入院。临床诊断为“粘连性蛛网膜炎”。首次手术于1987年12月进行，术后症状消失。三年后，左侧面部麻痹复发并伴有躯干共济失调。计算机断层扫描和磁共振成像显示，左侧桥小脑角区和左侧大脑中窝有两个肿瘤。这两个肿瘤被认为起源于不同的颅神经。在听神经瘤合并面神经神经瘤的临床诊断下，于1990年12月和1991年1月设计了两步手术以完全切除肿瘤。术中发现证实这两个肿瘤起源不同。病理诊断与神经瘤相符。该患者无“神经纤维瘤病”家族史。
