Kusunose M, Nishijima M, Oka N, Yamatani K, Takaku A
Department of Neurosurgery, Toyama Medical and Pharmaceutical University.
No Shinkei Geka. 1990 Mar;18(3):301-6.
A case is reported of acoustic neurinoma unrelated to Von Recklinghausens' disease in a child. A 14-year-old boy had suddenly become aware of impaired hearing associated with tinnitus, in August, 1988. He was admitted to our department in October, 1988. On admission, he had no neurological deficits except for right tinnitus. Acoustic tumor was found on air CT and MRI. Total removal of the tumor was achieved through a suboccipital craniotomy. The tumor had originated in the superior vestibular nerve. The size of the tumor was about 1 X 2 cm. The histological diagnosis was neurinoma. The facial and cochlear nerves were anatomically preserved. Twenty-two reported cases of acoustic neurinoma in children less than 15 years of age were reviewed. Based on these reports, it was concluded that acoustic neurinoma may grow rapidly in children, and they should be diagnosed and treated at an early stage.
本文报告一例儿童期与冯·雷克林霍增氏病无关的听神经瘤。一名14岁男孩于1988年8月突然发现听力受损并伴有耳鸣。1988年10月他入住我科。入院时，除右耳鸣外，他没有神经功能缺损。通过空气CT和MRI发现了听神经瘤。经枕下开颅手术实现了肿瘤的完全切除。肿瘤起源于上前庭神经。肿瘤大小约为1×2厘米。组织学诊断为神经瘤。面神经和蜗神经在解剖学上得以保留。回顾了22例15岁以下儿童听神经瘤的报告病例。基于这些报告得出结论，听神经瘤在儿童中可能生长迅速，应早期诊断和治疗。
