Nagao S, Aoki T, Kondo S, Gi H, Matsunaga M, Fujita Y
Department of Neurosurgery, Kurashiki Central Hospital.
No Shinkei Geka. 1991 Jan;19(1):47-51.
A case of a 63-year-old woman with subfrontal schwannoma of the left side is presented. The patient had a two-month history of recent memory disturbance and unstable gait. Computed tomography represented an isodense mass lesion with large and small cystic components in the anterior cranial fossa, enhancing homogeneously after intravenous injection of contrast medium. Cerebral angiograms revealed a noticeable hypovascularity. She underwent total resection of the tumor on May 21, 1986. It was verified that the tumor was attached to the left olfactory groove and had invaded the ethmoid bone. It was suggested that this tumor arose from one of the meningeal branches of the trigeminal nerve or of the anterior ethmoid nerve. Histological examination proved that this neoplasm was of schwannoma.
本文报告一例63岁左侧额叶下神经鞘瘤女性患者。患者有近两个月近期记忆障碍和步态不稳病史。计算机断层扫描显示颅前窝有一等密度肿块病变,有大小不等的囊性成分,静脉注射造影剂后均匀强化。脑血管造影显示明显的血管减少。她于1986年5月21日接受了肿瘤全切术。经证实,肿瘤附着于左侧嗅沟并侵犯筛骨。提示该肿瘤起源于三叉神经或筛前神经的脑膜分支之一。组织学检查证实该肿瘤为神经鞘瘤。