Wang Peng, Ning Weihai, Qu Yanming, Zhang Hongwei
Department of Neurosurgery, Sanbo Brain Hospital, Capital Medical University, Beijing; Department of Neurosurgery, Chengdu Fifth People's Hospital, Chengdu, China.
Department of Neurosurgery, Sanbo Brain Hospital, Capital Medical University, Beijing, China.
Neurol India. 2020 Sep-Oct;68(5):1203-1206. doi: 10.4103/0028-3886.299168.
Trochlear nerve cavernous hemangioma (CH) is a rare disease. There have been only five such cases reported in the world literature till date. The authors report a case of trochlear nerve CH in the Asian population and review the relevant literature. A 49-year-old Asian woman presented with gradually worsening double vision for 6 years. Physical examination identified a complete paralysis of left trochlear nerve. In imaging, a circular lesion measuring about 1 cm in diameter was found in the left ambient cistern. The lesion was completely excised through the left-side subtemporal approach, with a diagnosis of trochlear nerve CH confirmed by pathological examination. Further nerve anastomosis was not adopted, and the patient remained clinically stable in a two years' follow-up. This report provides more information about the history characteristics, imaging features, and surgical treatment strategies for trochlear nerve CH.
滑车神经海绵状血管瘤是一种罕见疾病。迄今为止，世界文献中仅报道过5例此类病例。作者报告了1例亚洲人群中的滑车神经海绵状血管瘤病例，并对相关文献进行了综述。一名49岁的亚洲女性出现渐进性加重的复视6年。体格检查发现左侧滑车神经完全麻痹。影像学检查显示，在左侧环池发现一个直径约1 cm的圆形病变。通过左侧颞下入路将病变完全切除，病理检查确诊为滑车神经海绵状血管瘤。未采用进一步的神经吻合术，在两年的随访中患者临床情况保持稳定。本报告提供了关于滑车神经海绵状血管瘤的病史特征、影像学特征及手术治疗策略的更多信息。
