莫拉雷三角：对所有临床医生来说都是一个重要的神经解剖区域。
Mollaret's triangle: An important neuroanatomical territory for all clinicians.
作者信息
Bulleid Lindsey, Hughes Tom, Leach Paul
机构信息
Department of Neurosurgery, University Hospital of Wales, Cardiff, South Wales, United Kingdom.
Department of Neurology, University Hospital of Wales, Cardiff, South Wales, United Kingdom.
出版信息
Surg Neurol Int. 2021 Mar 8;12:94. doi: 10.25259/SNI_625_2020. eCollection 2021.
BACKGROUND
Hypertrophic olivary degeneration is a rare condition caused by damage within the triangle of Guillain and Mollaret. We discuss the anatomical, radiological, and clinical history of this rare condition.
CASE DESCRIPTION
A 32-year-old lady presented with sub-acute headache, photophobia, and dizziness. She also described facial tingling and itching over her nose, and a thirty-minute episode of slurred speech. Magnetic resonance imaging revealed a 12.1 × 11 × 7.3 mm lesion arising from the floor of the fourth ventricle [Figure 1]. Postoperative imaging confirmed complete resection of the tumor, but changes consistent with hypertrophic olivary degeneration [Figure 2a and b].
CONCLUSION
An awareness of this complication is of importance to all clinical neuroscience to prevent misdiagnosis with the occurrence of new symptoms.
背景
肥大性橄榄核变性是一种由吉兰-莫拉雷三角区内损伤引起的罕见病症。我们讨论这种罕见病症的解剖学、放射学及临床病史。
病例描述
一名32岁女性出现亚急性头痛、畏光和头晕症状。她还描述了鼻子周围面部有刺痛和瘙痒感，以及一次持续30分钟的言语不清发作。磁共振成像显示第四脑室底部有一个12.1×11×7.3毫米的病变[图1]。术后成像证实肿瘤已完全切除，但出现了与肥大性橄榄核变性相符的变化[图2a和b]。
结论
所有临床神经科学领域都应认识到这种并发症，以防止出现新症状时误诊。
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