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小儿孤立性动眼神经鞘瘤:1 例新病例报告及文献复习。

Pediatric isolated oculomotor nerve schwannoma: a new case report and literature review.

机构信息

Department of Ophthalmology, The Affiliated Hospital of Medical College, Qingdao University, Qingdao, China.

出版信息

Pediatr Neurol. 2013 Apr;48(4):321-4. doi: 10.1016/j.pediatrneurol.2012.12.012.

Abstract

Isolated schwannoma arising from the oculomotor nerve occurs rarely, and only 12 children with oculomotor nerve schwannoma without neurofibromatosis have been sufficiently documented. This article presents a 3-year-old boy in which a large isolated parasellar oculomotor nerve schwannoma causing parent nerve dysfunction. Complete resection of the tumor was achieved via a right pterion approach, but he developed complete palsy of the third nerve postoperatively, which had an incomplete recovery in 12-month follow-up. We review the pertinent literature about pediatric oculomotor nerve schwannoma and discuss its clinical features and management.

摘要

发生于动眼神经的孤立性神经鞘瘤罕见,且仅有 12 例无神经纤维瘤病的儿童动眼神经神经鞘瘤得到充分记录。本文报道了 1 例 3 岁男孩,其右侧鞍旁大型孤立性动眼神经神经鞘瘤导致主神经功能障碍。通过右翼点入路实现了肿瘤的完全切除,但术后第 3 颅神经完全瘫痪,随访 12 个月后未完全恢复。我们复习了有关儿童动眼神经神经鞘瘤的相关文献,并讨论了其临床特征和治疗方法。

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