Santovito Davide, Conforti Massimo, Varetto Gianfranco, Rispoli Pietro
Unit of Vascular Surgery, Department of Medico-Surgical Disciplines, University of Turin, Turin, Italy.
J Vasc Surg. 2009 Apr;49(4):1053-5. doi: 10.1016/j.jvs.2008.11.057.
After the incidental intraoperative discovery of a paraganglioma of cranial nerve XII, we searched our hospital database and literature for similar cases to determine whether evidence exists to support the existence of paraganglioma of the hypoglossal nerve. We describe a case of cranial nerve XII paraganglioma, recognized only during surgery, without any indicative preoperative sign or symptom nor diagnostic imaging studies. In light of published findings, only four cases described since 1966, and our experience, the report discusses diagnostic criteria that could aid in establishing a diagnosis of hypoglossal nerve paraganglioma based on a reasonable degree of medical certainty.
在术中偶然发现一例第十二颅神经副神经节瘤后,我们检索了我院数据库及文献,查找类似病例,以确定是否有证据支持舌下神经副神经节瘤的存在。我们描述了一例仅在手术中才被发现的第十二颅神经副神经节瘤病例,术前没有任何指示性体征或症状,也没有进行诊断性影像学检查。根据已发表的研究结果,自1966年以来仅描述了4例此类病例,结合我们的经验,本报告讨论了有助于在合理医学确定性程度上建立舌下神经副神经节瘤诊断的诊断标准。