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支气管源性囊肿:颅底病变伴颅外延伸。

Bronchogenic Cyst: Skull Base Lesions with Extracranial Extension.

机构信息

Guangdong Sanjiu Brain Hospital, Guangzhou, China.

Guangdong Sanjiu Brain Hospital, Guangzhou, China.

出版信息

World Neurosurg. 2020 Jul;139:182-185. doi: 10.1016/j.wneu.2020.04.010. Epub 2020 Apr 16.

Abstract

BACKGROUND

Intracranial bronchogenic cysts (BCs) are extremely rare. To our knowledge, this is the first report of a BC in which lesions involve the middle and posterior cranial fossa, as well as the infratemporal fossa.

CASE DESCRIPTION

We present the case of a 38-year-old woman who suffered from a cranial nerve dysfunction for 2 years. Magnetic resonance imaging showed that there were skull base communication lesions across the middle and posterior fossa. The patient was operated on through an infratemporal fossa approach. The final diagnosis was BC after histopathologic examination and immunohistochemical verification. The patient's neurologic dysfunction was partially ameliorated at the half-year follow-up.

CONCLUSIONS

Intracranial BCs are rare. However, they should be considered in the differential diagnosis for cystic lesions with edge enhancement or extracranial extension.

摘要

背景

颅内支气管源性囊肿(BC)极为罕见。据我们所知,这是首例病变累及中颅窝、后颅窝和颞下窝的 BC 报告。

病例描述

我们报告了 1 例 38 岁女性,该患者患有颅神经功能障碍 2 年。磁共振成像显示存在跨中后颅窝的颅底沟通性病变。患者经颞下窝入路进行手术。组织病理学检查和免疫组织化学验证的最终诊断为 BC。患者的神经功能障碍在半年随访时部分改善。

结论

颅内 BC 罕见,但对于边缘强化或颅外延伸的囊性病变,应考虑其作为鉴别诊断。

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