Lu Cheng-Lin, Chen Ming-Hong, Chao Ting-Kuang
Department of Otolaryngology, Far Eastern Memorial Hospital, Pan-Chiao, Taipei, Taiwan.
J Laryngol Otol. 2005 Dec;119(12):1018-20. doi: 10.1258/002221505775010832.
Cervical neurilemmoma may originate from any nerve sheath tissue in the neck including the vagus nerve, glossopharyngeal nerve, brachial plexus, sympathetic trunk and cervical spine. We report an unusual case of a dumbbell-shaped neurilemmoma arising from the cervical spinal roots in a patient who complained of having had a neck mass for several months. Computed tomographic scan and magnetic resonance imaging revealed a dumbbell-shaped tumour extending from the C4 spinal level through the intervertebral foramen into the right parapharyngeal space. Decompression surgery was performed first via the cervical approach. Five months later, the patient received laminectomy and a complete tumour excision. The symptoms and signs were significantly relieved without neurological sequelae. No evidence of recurrence was noted after one-year follow up. This two-staged operation could offer an alternative surgical approach yielding ideal therapeutic results in such a rare disease.
颈神经鞘瘤可起源于颈部的任何神经鞘组织，包括迷走神经、舌咽神经、臂丛神经、交感干和颈椎。我们报告了一例罕见病例，一名患者颈部肿块数月，经检查发现为哑铃形颈神经根神经鞘瘤。计算机断层扫描和磁共振成像显示，一个哑铃形肿瘤从C4脊髓节段经椎间孔延伸至右侧咽旁间隙。首先通过颈部入路进行减压手术。五个月后，患者接受了椎板切除术并完整切除肿瘤。症状和体征明显缓解，无神经后遗症。随访一年未见复发迹象。这种两阶段手术可为这种罕见疾病提供一种替代手术方法，产生理想的治疗效果。
