表现为海绵窦病变继发展神经麻痹的腺样囊性癌
Adenoid Cystic Carcinoma Presenting as Abducens Nerve Palsy Secondary to Cavernous Sinus Lesion.
作者信息
Donaldson Christopher, Dawes Bryden, Rathi Vivek, Bulluss Kristian
机构信息
Department of Neurosurgery, St. Vincent's Hospital Melbourne, Fitzroy, VIC, Australia.
Department of Anatomical Pathology, St. Vincent's Hospital Melbourne, Fitzroy, VIC, Australia.
出版信息
Ann Neurosci. 2017 Jul;24(3):187-190. doi: 10.1159/000477184. Epub 2017 Jul 24.
BACKGROUND
We report a 61-year-old who presented with a right-sided abducens nerve palsy secondary to a middle cranial fossa adenoid cystic carcinoma (ACC) extending into the cavernous sinus.
PURPOSE
This case represents a unique presentation of intracranial ACC with a large middle cranial fossa mass and only a small extracranial component.
METHODS
Review of the literature was undertaken to identify cases of intracranial ACC and their range of presentations.
RESULTS
Our results show that this is the first reported case of an ACC presenting mostly as an intracranial mass with an isolated cranial nerve lesion.
CONCLUSION
Our case highlights the importance of a broad differential diagnosis, particularly in circumstances where there are atypical features of lesions on radiographic imaging.
背景
我们报告一名61岁患者，其因颅中窝腺样囊性癌（ACC）延伸至海绵窦而出现右侧展神经麻痹。
目的
该病例代表了颅内ACC的一种独特表现，有一个大的颅中窝肿块且仅有一个小的颅外成分。
方法
对文献进行回顾以确定颅内ACC病例及其表现范围。
结果
我们的结果表明，这是首例主要表现为颅内肿块并伴有孤立性颅神经病变的ACC报告病例。
结论
我们的病例强调了广泛鉴别诊断的重要性，特别是在影像学检查中病变具有非典型特征的情况下。
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