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[与额筛骨骨瘤相关的硬膜内黏液囊肿:一例报告]

[Intradural Mucocele Associated with a Frontoethmoidal Osteoma:A Case Report].

作者信息

Nakagawa Ryota, Ima Hiroyuki, Yamada Masatoshi, Nishiike Suetaka, Fujimoto Yasunori

机构信息

Department of Neurosurgery, Japan Organization of Occupational Health and Safety, Osaka Rosai Hospital.

出版信息

No Shinkei Geka. 2020 Aug;48(8):691-697. doi: 10.11477/mf.1436204255.

Abstract

The formation of symptomatic intradural mucocele associated with a paranasal osteoma is rare, and no standard treatment has been established. Here, we present a case of intradural mucocele in a 27-year-old man complaining of headache and generalized convulsion. Cranial CT and brain MRI showed a left frontoethmoidal osteoma extending into the left anterior cranial fossa and orbit along with a mass in the left frontal lobe. He underwent resection of both intracranial osteomas and the mass through left frontal craniotomy. Histological findings were consistent with a mucocele, and the diagnosis of an intradural mucocele associated with a frontoethmoidal osteoma was confirmed. The postoperative course was uneventful. Although both osteoma and mucocele are benign, they may cause life-threatening symptoms by expanding intracranially. A tailored treatment considering the invasiveness and postoperative long-term follow-up of the patient is essential for this uncommon condition.

摘要

伴有鼻旁骨瘤的症状性硬膜内黏液囊肿的形成较为罕见,目前尚未确立标准治疗方法。在此,我们报告一例27岁男性硬膜内黏液囊肿病例,该患者主诉头痛和全身性惊厥。头颅CT和脑部MRI显示,左侧额筛骨瘤沿左侧前颅窝和眼眶延伸,并伴有左侧额叶肿块。他通过左额开颅手术切除了颅内骨瘤和肿块。组织学检查结果与黏液囊肿相符,确诊为伴有额筛骨瘤的硬膜内黏液囊肿。术后病程平稳。尽管骨瘤和黏液囊肿均为良性,但它们可能因颅内扩张而导致危及生命的症状。对于这种罕见疾病,考虑到患者的侵袭性和术后长期随访进行个性化治疗至关重要。

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