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1型神经纤维瘤病患者巨大颈迷走神经肿瘤行全切除治疗:病例报告及文献复习

Large Cervical Vagus Nerve Tumor in a Patient with Neurofibromatosis Type 1 Treated with Gross Total Resection: Case Report and Review of the Literature.

作者信息

Bray David P, Chan Andrew K, Chin Cynthia T, Jacques Line

机构信息

Department of Neurological Surgery, Columbia University, New York, New York, United States.

Department of Neurological Surgery, University of California, San Francisco, California, United States.

出版信息

J Brachial Plex Peripher Nerve Inj. 2016 Nov 16;11(1):e48-e54. doi: 10.1055/s-0036-1594010. eCollection 2016.

Abstract

Neurofibromas are benign peripheral nerve sheath tumors that occur commonly in individuals with neurocutaneous disorders such as neurofibromatosis type 1. Vagal nerve neurofibromas, however, are a relatively rare occurrence. We present the case of a 22-year-old man with neurofibromatosis type 1 with a neurofibroma of the left cervical vagal nerve. The mass was resected through an anterior approach without major event. In the postoperative course, the patient developed left vocal cord paralysis treated with medialization with injectable gel. We then present a comprehensive review of the literature for surgical resection of vagal nerve neurofibromas.

摘要

神经纤维瘤是一种良性周围神经鞘瘤,常见于患有1型神经纤维瘤病等神经皮肤疾病的个体。然而,迷走神经神经纤维瘤相对少见。我们报告一例22岁患有1型神经纤维瘤病的男性患者,其左颈迷走神经有一个神经纤维瘤。通过前路手术切除肿块,未发生重大并发症。在术后过程中,患者出现左侧声带麻痹,采用可注射凝胶进行声带内移治疗。然后,我们对迷走神经神经纤维瘤手术切除的文献进行了全面综述。

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