Stein Peter J
Harvard Vanguard Medical Associates, Boston, MA 02215, USA.
J Manipulative Physiol Ther. 2009 Nov-Dec;32(9):776-80. doi: 10.1016/j.jmpt.2009.10.003.
The purpose of this case report is to describe and discuss the clinical presentation, diagnosis, and management of a patient with a cerebellopontine angle meningioma.
A 29-year-old man presented to a chiropractor with diffuse musculoskeletal pain in the neck and right upper extremity. The findings of the clinical examination included a unilateral lower cranial nerve motor deficit.
Magnetic resonance imaging studies of the neck and brain revealed a posterior fossa tumor, which was eventually diagnosed as a benign meningioma. Partial surgical removal of the tumor mass was followed by radiation therapy. Postoperative morbidity was fairly low. Lower cranial nerve function normalized after surgery.
Patients with brain lesions may present to chiropractic practices with predominantly musculoskeletal symptoms. Chiropractors can aid in the multidisciplinary and integrated management of such conditions through careful interviewing and appropriate neurological examination.
本病例报告旨在描述和讨论一名桥小脑角脑膜瘤患者的临床表现、诊断及治疗。
一名29岁男性因颈部和右上臂弥漫性肌肉骨骼疼痛就诊于脊椎按摩师。临床检查发现单侧下颅神经运动功能缺损。
颈部和脑部的磁共振成像研究显示后颅窝有一个肿瘤，最终被诊断为良性脑膜瘤。肿瘤部分切除术后进行了放射治疗。术后发病率相当低。术后下颅神经功能恢复正常。
脑部病变患者可能主要以肌肉骨骼症状就诊于脊椎按摩诊所。脊椎按摩师可通过仔细询问病史和进行适当的神经系统检查，协助对此类病症进行多学科综合管理。
