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面神经血管瘤:累及垂直段的罕见病例。

Facial nerve hemangioma: a rare case involving the vertical segment.

机构信息

Department of Otolaryngology-Head and Neck Surgery, Georgetown University Hospital, Washington, DC 20007, USA.

出版信息

Laryngoscope. 2013 Feb;123(2):499-502. doi: 10.1002/lary.23431. Epub 2012 Jul 9.

DOI:10.1002/lary.23431
PMID:22777601
Abstract

This case report and literature review reports on a rare case of facial nerve hemangioma (FNH) involving the vertical facial nerve (FN) segment, and discusses the clinical presentation, imaging, pathogenesis, and management of these rare lesions. A 53-year-old male presented with a 10-year history of right hemifacial twitching and progressive facial paresis (House-Brackmann grading score V/VI). The computed tomography and magnetic resonance imaging studies confirmed an expansile lesion along the vertical FN segment. Excision and histopathologic examination demonstrated FNH. FNHs involving the vertical FN segment are extremely rare. Despite being rare lesions, we believe that familiarity with the presentation and management of FNHs are imperative. Laryngoscope, 2012.

摘要

这例病例报告和文献回顾报告了一例罕见的面神经血管瘤(FNH)累及垂直段面神经(FN)的病例,并讨论了这些罕见病变的临床表现、影像学表现、发病机制和治疗方法。一位 53 岁男性因右侧面部抽搐和进行性面瘫(House-Brackmann 分级评分 V/VI)就诊,病史长达 10 年。计算机断层扫描和磁共振成像研究证实了沿垂直 FN 段的扩张性病变。切除和组织病理学检查显示为 FNH。累及垂直 FN 段的 FNH 极为罕见。尽管这些病变较为罕见,但我们认为了解 FNH 的表现和治疗方法至关重要。《喉镜》,2012 年。

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