第三脑神经海绵状畸形：一例报告并文献复习
III cranial nerve cavernous malformation: A case report and review of the literature.
作者信息
Perna Giuseppe Di, Cofano Fabio, Altieri Roberto, Baldassarre Bianca Maria, Bertero Luca, Zenga Francesco, Garbossa Diego
机构信息
Department of Neurosurgery, Città della Salute e della Scienza di Torino, Italy.
Department of Pathology, University of Turin, Turin, Italy.
出版信息
Surg Neurol Int. 2020 Dec 22;11:452. doi: 10.25259/SNI_650_2020. eCollection 2020.
BACKGROUND
Cavernous malformations generally occur in brain parenchyma but rarely these lesions arise from cranial nerves (CNs).
CASE DESCRIPTION
This paper described a case of a woman presented with III CN dysfunction due to the presence of a right III CN cavernoma. Surgical treatment with nerve sparing gross total resection was performed. A 3-month follow-up was documented.
CONCLUSION
Only few cases of CNs cavernomas have been described in the literature. These lesions have been described to show a more aggressive behavior compared to intraparenchymal cavernomas, especially in symptomatic patients. Differential diagnosis and surgical treatment could be challenging, especially trying to preserve nerve integrity and function.
背景
海绵状血管畸形通常发生于脑实质，但这些病变极少起源于脑神经（CNs）。
病例描述
本文描述了一例因右侧动眼神经海绵状血管瘤导致动眼神经功能障碍的女性病例。实施了保留神经的大体全切手术治疗。记录了3个月的随访情况。
结论
文献中仅描述了少数脑神经海绵状血管瘤病例。与脑实质内海绵状血管瘤相比，这些病变表现出更具侵袭性的行为，尤其是在有症状的患者中。鉴别诊断和手术治疗可能具有挑战性，特别是试图保留神经完整性和功能时。
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