表现为梅尼埃样症状的后颅窝脑膜瘤：病例报告
Posterior fossa meningiomas presenting with Ménière's-like symptoms: case report.
作者信息
Coelho Daniel H, Roland J Thomas, Golfinos John G
机构信息
Department of Otolaryngology, Head and Neck Surgery, Virginia Commonwealth University, Richmond, Virginia 23298-0146, USA.
出版信息
Neurosurgery. 2008 Nov;63(5):E1001; discussion E1001. doi: 10.1227/01.NEU.0000327883.36668.B4.
OBJECTIVE AND IMPORTANCE
In rare cases, posterior fossa meningiomas can involve the endolymphatic sac. Such involvement can result in endolymphatic hydrops and a constellation of symptoms suggestive of Ménière's disease. The diagnosis and management of patients with these tumors is discussed.
CLINICAL PRESENTATION
Three patients, each of whom presented with symptoms consistent with Ménière's disease, were found to have posterior fossa meningiomas limited to the dura overlying the endolymphatic sac.
INTERVENTION
All 3 patients were diagnosed by magnetic resonance imaging and underwent complete surgical resection. In all cases, the symptoms resolved after tumor removal.
CONCLUSION
Clinicians should have a degree of suspicion of posterior fossa meningioma when patients present with symptoms suggestive of Ménière's disease. Failure to do so may result in delayed diagnosis or worse outcomes for an otherwise treatable tumor.
目的与重要性
在罕见情况下，后颅窝脑膜瘤可累及内淋巴囊。这种累及可导致内淋巴积水以及一系列提示梅尼埃病的症状。本文讨论了这些肿瘤患者的诊断与治疗。
临床表现
三名患者均表现出与梅尼埃病相符的症状，经检查发现后颅窝脑膜瘤局限于覆盖内淋巴囊的硬脑膜。
干预措施
所有3例患者均通过磁共振成像确诊，并接受了完整的手术切除。所有病例中，肿瘤切除后症状均得到缓解。
结论
当患者出现提示梅尼埃病的症状时，临床医生应高度怀疑后颅窝脑膜瘤。否则可能导致诊断延误或使原本可治疗的肿瘤出现更糟的结果。
Zotero 插件