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滑车神经孤立性浸润性脑膜瘤：病例报告

Solitary Infiltrating Meningioma of the Trochlear Nerve: Case Report.

作者信息

Bhansali Anita P, Stamates Melissa M, Lee John M, Wong Ricky H

机构信息

Section of Neurosurgery, University of Chicago, Chicago, Illinois, United States.

Department of Pathology and Department of Neurosurgery, NorthShore University Health System, Evanston, Illinois, United States.

出版信息

J Neurol Surg Rep. 2018 Apr;79(2):e63-e64. doi: 10.1055/s-0038-1661005. Epub 2018 Jun 25.

DOI:10.1055/s-0038-1661005
PMID:29951350
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6018071/
Abstract

We report the case of a solitary meningioma infiltrating the trochlear nerve, the first in a patient without a neurocutaneous disorder or cavernous sinus involvement. The patient presented with diplopia was found to have a focal enhancing mass encompassing the trochlear nerve. Following surgical resection, pathological examination showed meningioma infiltrating the nerve itself, demonstrated on the included pathology images. A review of the literature and discussion of meningiomas infiltrating cranial nerves are included.

摘要

我们报告了一例孤立性脑膜瘤侵犯滑车神经的病例，这是首例发生在无神经皮肤疾病或海绵窦受累患者中的此类病例。该患者因复视而就诊，经检查发现有一个包绕滑车神经的局灶性强化肿块。手术切除后，病理检查显示脑膜瘤侵犯了神经本身，所附病理图像证实了这一点。本文还包括对文献的回顾以及对侵犯颅神经的脑膜瘤的讨论。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/680c/6018071/5845458e9a66/10-1055-s-0038-1661005-i170018-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/680c/6018071/40de99baa4ae/10-1055-s-0038-1661005-i170018-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/680c/6018071/5845458e9a66/10-1055-s-0038-1661005-i170018-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/680c/6018071/40de99baa4ae/10-1055-s-0038-1661005-i170018-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/680c/6018071/5845458e9a66/10-1055-s-0038-1661005-i170018-2.jpg

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本文引用的文献

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Trochlear Nerve Neurofibroma in a Clinically NF-1-Negative Patient; A Case Report and Review of Literature.
World Neurosurg. 2016 May;89:732.e13-8. doi: 10.1016/j.wneu.2016.01.097. Epub 2016 Feb 16.
2
The middle fossa approach for the removal of a trochlear schwannoma.用于切除滑车神经鞘瘤的中颅窝入路。
Case Rep Neurol Med. 2014;2014:672314. doi: 10.1155/2014/672314. Epub 2014 Mar 12.
3
A solitary hemangioblastoma located on the trochlear nerve.位于滑车神经上的孤立性血管母细胞瘤。
J Clin Neurosci. 2014 Feb;21(2):333-5. doi: 10.1016/j.jocn.2013.01.017. Epub 2013 Sep 4.
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Cisternal trochlear nerve schwannoma: improvement of diplopia after subtotal tumour excision.脑池段滑车神经鞘瘤：肿瘤次全切除术后复视改善
Br J Neurosurg. 2012 Feb;26(1):107-9. doi: 10.3109/02688697.2011.592053. Epub 2011 Jul 18.
5
Cavernous malformation of the trochlear nerve: case report and review of the literature on cranial nerve cavernomas.滑车神经海绵状血管畸形：病例报告及颅神经海绵状血管畸形文献复习。
Neurosurgery. 2011 Jul;69(1):E230-8; discussion E238. doi: 10.1227/NEU.0b013e31821cb28f.
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Intraorbital meningiomas: a pathologic review using current World Health Organization criteria.眶内脑膜瘤：应用现行世界卫生组织标准的病理回顾。
Arch Pathol Lab Med. 2010 May;134(5):766-70. doi: 10.5858/134.5.766.
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Surgical management of jugular foramen meningiomas: a series of 13 cases and review of the literature.颈静脉孔脑膜瘤的外科治疗：13例病例系列及文献综述
Laryngoscope. 2007 Oct;117(10):1710-9. doi: 10.1097/MLG.0b013e3180cc20a3.
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The 2007 WHO classification of tumours of the central nervous system.2007年世界卫生组织中枢神经系统肿瘤分类
Acta Neuropathol. 2007 Aug;114(2):97-109. doi: 10.1007/s00401-007-0243-4. Epub 2007 Jul 6.
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Meningioma of the accessory nerve extending from the jugular foramen into the parapharyngeal space.
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