Mascarenhas L, Magalhaes Z, Honavar M, Romao H, Resende M, Resende Pereira J, Rocha Vaz A
Neurosurgery Service, Pedro Hispano Hospital, Matosinhos, Portugal.
Acta Neurochir (Wien). 2004 Apr;146(4):389-92; discussion 391-2. doi: 10.1007/s00701-003-0197-9. Epub 2004 Jan 8.
Six cases of cavernous abducens nerve schwannoma have been reported. A new case of a 39 year old female with abducens nerve paresis, exophtalmos, chemosis and headache due to a 1,36 x 2,58 cm cystic right cavernous abducens nerve schwannoma is presented and discussed. The cavernous sinus was opened between the trochlear and ophthalmic nerves. A portion of the tumor capsule adherent to the internal carotid artery was not resected. No deficits were added by surgery. After 30 months of follow up there is no evidence of relapse and only abducens nerve paresis persists.
已报道6例海绵窦展神经鞘瘤。本文报告并讨论了1例39岁女性新病例,该患者因右侧海绵窦展神经鞘瘤(大小为1.36×2.58 cm,呈囊性)出现展神经麻痹、眼球突出、球结膜水肿和头痛。在滑车神经和眼神经之间打开海绵窦。未切除与颈内动脉粘连的部分肿瘤包膜。手术未增加新的神经功能缺损。随访30个月后,无复发迹象,仅展神经麻痹持续存在。