经颈入路在手术治疗伴椎旁扩展的舌下神经鞘瘤中的应用：病例报告
Usefulness of transcervical approach for surgical treatment of hypoglossal schwannoma with paraspinal extension: case report.
作者信息
Sato Kimitoshi, Shimizu Satoru, Oka Hidehiro, Nakahara Kuniaki, Utsuki Satoshi, Fujii Kiyotaka
机构信息
Department of Neurosurgery, Kitasato University School of Medicine, Kanagawa 228-8555, Japan.
出版信息
Surg Neurol. 2006 Apr;65(4):397-401, discussion 401. doi: 10.1016/j.surneu.2005.08.020.
BACKGROUND
Usefulness of transcervical approach to hypoglossal schwannoma with paraspinal extension is described herein.
CASE DESCRIPTION
A 54-year-old woman presented with gradually worsening left hypoglossal nerve palsy. The findings were of a tumor lying in the left hypoglossal canal and paraspinal region and were consistent with hypoglossal schwannoma. Subtotal intracapsular removal of the tumor was performed via transcervical approach. The symptoms improved, and no additional symptoms were noted.
CONCLUSION
The transcervical approach and intracapsular removal of the tumor under electrophysiological monitoring provided for successful minimally invasive surgery in this case of hypoglossal schwannoma.
背景
本文描述了经颈入路治疗伴有椎旁延伸的舌下神经鞘瘤的有效性。
病例描述
一名54岁女性，出现逐渐加重的左侧舌下神经麻痹。检查发现肿瘤位于左侧舌下神经管和椎旁区域，符合舌下神经鞘瘤。通过经颈入路对肿瘤进行了囊内次全切除。症状得到改善，未出现其他症状。
结论
在电生理监测下经颈入路及肿瘤囊内切除为本例舌下神经鞘瘤提供了成功的微创手术方法。
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