Levi A D, Kucharczyk W, Lang A P, Schutz H
Department of Neuroradiology, Toronto Hospital, University of Toronto, Ontario, Canada.
Can J Neurol Sci. 1991 Nov;18(4):515-8. doi: 10.1017/s0317167100032273.
The authors present a case of a 29-year-old man who developed rapidly progressive cranial nerve palsies and a right hemiparesis secondary to a pontine hemorrhage. The rare but correct diagnosis of a clival chordoma which had invaded the brain stem and subsequently hemorrhaged was based on computed tomography and magnetic resonance imaging. The diagnosis was confirmed at surgery when the patient underwent a successful operative decompression of tumor and clot from the pons via a sub-occipital craniotomy. This represents the first case of a clival chordoma to hemorrhage into the brain stem, which was diagnosed preoperatively and the patient survived.
作者报告了一例29岁男性患者，该患者因桥脑出血继发迅速进展的颅神经麻痹和右侧偏瘫。基于计算机断层扫描和磁共振成像，罕见但正确地诊断为斜坡脊索瘤侵犯脑干并随后出血。当患者通过枕下开颅手术成功地对桥脑的肿瘤和血凝块进行手术减压时，手术确诊了该诊断。这是首例术前诊断出的斜坡脊索瘤出血进入脑干且患者存活的病例。
