海绵窦展神经鞘瘤：一例报告并文献复习
Abducens nerve schwannoma of the cavernous sinus: A case report and literature review.
作者信息
Alhussain Zeyad M, Alharbi Shatha K, Farrash Faisal
机构信息
Department of Neuroscience, Division of Neurological Surgery, King Faisal Specialist Hospital and Research Center, Riyadh, Saudi Arabia.
出版信息
Surg Neurol Int. 2020 Nov 25;11:402. doi: 10.25259/SNI_362_2020. eCollection 2020.
BACKGROUND
Schwannomas of the abducens nerve are a rare pathology and are encountered less within the cavernous sinus. We describe a case of sixth cranial nerve schwannoma, in the cavernous sinus.
CASE DESCRIPTION
A 50-year-old lady, presented with 2 years history of double vision and left facial numbness that started 6 months before presentation, found to have hyperintense lobulated mass at the left cavernous sinus extending into Meckel's cave with bony remodeling on magnetic resonance imaging. She underwent left frontotemporal craniotomy, combined extra-intradural approach, gross total resection. She had a gradual recovery of the sixth cranial nerve function.
CONCLUSION
Abducens nerve schwannoma of the cavernous sinus is a rare and challenging tumor. However amenable to surgical intervention with favorable neurological outcome.
背景
展神经神经鞘瘤是一种罕见的病理情况，在海绵窦内更为少见。我们描述一例位于海绵窦的第六脑神经神经鞘瘤病例。
病例描述
一名50岁女性，有2年复视病史，就诊前6个月开始出现左侧面部麻木，磁共振成像显示左侧海绵窦有分叶状高信号肿块，延伸至梅克尔腔并伴有骨质重塑。她接受了左额颞开颅手术，采用联合硬膜内外入路，实现了肿瘤全切。她的第六脑神经功能逐渐恢复。
结论
海绵窦展神经神经鞘瘤是一种罕见且具有挑战性的肿瘤。然而，通过手术干预可获得良好的神经学预后。
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