Saura Hiroaki, Beppu Takaaki, Matsuura Hideki, Asahi Shigeki, Uesugi Noriyuki, Sasaki Makoto, Ogasawara Kuniaki
Departments of Neurosurgery and.
J Neurosurg. 2014 Aug;121(2):387-9. doi: 10.3171/2014.4.JNS132243. Epub 2014 May 30.
Yawning occurs in various conditions such as hypoxia, epilepsy, and sleep disorders including sleep apnea. Intractable yawning associated with a brain tumor has been rarely reported. A 19-year-old woman presented with intractable yawning. Magnetic resonance imaging showed a tumor in the supramedial cerebellum that compressed the dorsal side of the midbrain and upper pons. After subtotal removal of the tumor, the yawning completely disappeared. Postoperative MRI showed resolution of compression of the brainstem. The tumor was histologically diagnosed as a mature teratoma. The present case suggested that the intractable yawning resulted from the tumor compressing the dorsal side of the junction between the midbrain and pons.
打哈欠发生在多种情况下,如缺氧、癫痫以及包括睡眠呼吸暂停在内的睡眠障碍。与脑肿瘤相关的顽固性打哈欠鲜有报道。一名19岁女性出现顽固性打哈欠。磁共振成像显示小脑上内侧有一个肿瘤,该肿瘤压迫中脑和脑桥上段的背侧。肿瘤次全切除后,打哈欠完全消失。术后磁共振成像显示脑干压迫解除。该肿瘤经组织学诊断为成熟畸胎瘤。本病例提示,顽固性打哈欠是由肿瘤压迫中脑与脑桥交界处的背侧所致。