Minami S, Tsunoda S, Sakaki T, Hashimoto H, Kyoi K, Utsumi S, Matsunaga T
Department of Neurosurgery, Nara Medical University, Japan.
No Shinkei Geka. 1989 Jan;17(1):57-62.
A rare case of ectopic meningioma of the ethmoid sinus is reported. A 57 year-old male patient was admitted with complaints of anosmia and headache. Computed tomography revealed a relatively high-density mass in the bilateral ethmoid and sphenoid sinuses. The mass was markedly enhanced after intravenous administration of contrast medium. The cerebral angiography showed tumor stains fed by bilateral internal and external carotid arteries with right side dominance. The tumor in the ethmoidal sinus was removed by otolaryngologists at first and then the tumor in the sphenoid sinus was removed using sublabial transseptal sphenotomy. The histological examination resulted in a diagnosis of transitional meningioma with psammoma bodies. The tumor in this case is suspected to have originated from heterotopic meningocytes or meningocytes accompanying the perineural sheath of the olfactory nerve.
报告了1例罕见的筛窦异位脑膜瘤病例。一名57岁男性患者因嗅觉丧失和头痛入院。计算机断层扫描显示双侧筛窦和蝶窦内有一个相对高密度肿块。静脉注射造影剂后,肿块明显强化。脑血管造影显示肿瘤染色由双侧颈内动脉和颈外动脉供血,右侧为主。耳鼻喉科医生首先切除了筛窦内的肿瘤,然后采用唇下经鼻中隔蝶窦切开术切除了蝶窦内的肿瘤。组织学检查诊断为伴有砂粒体的过渡型脑膜瘤。该病例中的肿瘤怀疑起源于异位脑膜细胞或伴随嗅神经神经束膜的脑膜细胞。