Hagiwara Akira, Nagai Noriko, Ogawa Yasuo, Suzuki Mamoru
Department of Otolaryngology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, Japan ; Department of Otolaryngology, Kohsei Chuo General Hospital, 1-11-7 Mita, Meguro-ku, Tokyo 153-0062, Japan.
Department of Otolaryngology, Tokyo Medical University, 6-7-1 Nishishinjuku, Shinjuku-ku, Tokyo 160-0023, Japan.
Case Rep Otolaryngol. 2014;2014:354672. doi: 10.1155/2014/354672. Epub 2014 Feb 20.
We report a rare case of nasal glial heterotopia in an adult. After the surgery, frontal lobe cerebral hemorrhage developed. A 58-year-old man had unilateral nasal obstruction that progressed for one year. He had been treated for hypertension, chronic heart failure, and cerebral infarction with aspirin and warfarin. A computed tomography scan showed that the tumor occupied the right nasal cavity and the sinuses with small defect in the cribriform plate. The tumor was removed totally with endoscopy. After the operation, the patient developed convulsions and frontal lobe cerebral hemorrhage. The hemorrhage site was located near a defect in the cribriform plate. Nasal glial heterotopia is a rare developmental abnormality, particularly rare in adult. Only few cases were reported. We could not find any report of adult nasal glial heterotopias that developed cerebral hemorrhage as a complication of the surgery.
我们报告一例成人鼻神经胶质异位症的罕见病例。术后发生额叶脑出血。一名58岁男性出现单侧鼻塞，持续了一年。他曾因高血压、慢性心力衰竭和脑梗死接受阿司匹林和华法林治疗。计算机断层扫描显示肿瘤占据右侧鼻腔和鼻窦，筛板有小缺损。通过内镜将肿瘤完全切除。术后，患者出现惊厥和额叶脑出血。出血部位位于筛板缺损附近。鼻神经胶质异位症是一种罕见的发育异常，在成人中尤为罕见。仅有少数病例报道。我们未发现任何关于成人鼻神经胶质异位症术后并发脑出血的报告。
