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脑干海绵状血管瘤所致双侧声带麻痹——诊断难题!

Bilateral vocal cord palsy due to brain-stem cavernoma--a diagnostic dilemma!

作者信息

Ali Z, Prabhakar H, Rath G P, Singh D

机构信息

Department of Neuroanaesthesiology, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Acta Neurochir (Wien). 2008 Aug;150(8):845-6. doi: 10.1007/s00701-008-1508-y. Epub 2008 May 21.

DOI:10.1007/s00701-008-1508-y
PMID:18493702
Abstract

Vocal cord palsy may result from varied causes. However, cord palsy resulting from a brain-stem cavernoma has never been reported. We report a patient with vocal cord palsy in a 30-year-old male resulting from the brain-stem lesion. The patient became symptomatic each time the lesion bled and improved gradually when the bleeding resolved. Repeated insults on the brain-stem produced permanent cord palsy. Although a rare presentation, brain-stem cavernoma may be considered in the aetiology of cord palsy.

摘要

声带麻痹可能由多种原因引起。然而,脑干海绵状血管瘤导致的声带麻痹从未有过报道。我们报告一名30岁男性患者,其声带麻痹由脑干病变引起。每次病变出血时患者出现症状,出血消退后症状逐渐改善。脑干反复受损害导致永久性声带麻痹。尽管表现罕见,但在声带麻痹的病因中可能应考虑脑干海绵状血管瘤。

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