桥小脑角下方巨大室管膜下瘤伴严重梗阻性脑积水：一例极其罕见肿瘤的病例报告

Large Subependymoma Inferior to the Cerebellopontine Angle With Significant Obstructive Hydrocephalus: A Case Report on an Extremely Rare Tumor.

作者信息

Laghaei Farimani Pedram, Fatehi Mostafa, Chaharyn Bradley M, Akagami Ryojo

机构信息

Division of Neurosurgery, Vancouver General Hospital, Vancouver, CAN.

Department of Medicine, University of British Columbia, Vancouver, CAN.

出版信息

Cureus. 2021 Oct 11;13(10):e18686. doi: 10.7759/cureus.18686. eCollection 2021 Oct.

DOI:10.7759/cureus.18686

PMID:34790451

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8584333/

Abstract

Subependymomas are rare yet benign tumors that are commonly found within the ventricular system. We describe the case of a 51-year-old male presenting with hydrocephalus and progressive headaches found to have a right cerebellopontine angle (CPA) lesion encasing multiple blood vessels and cranial nerves (CN). The lesion was resected subtotally via a retrosigmoid approach and was found to be a subependymoma. CPA subependymomas are extremely rare lesions. The neuroimaging and histopathological findings as well as a comprehensive literature review of similar cases are discussed.

摘要

室管膜下瘤是一种罕见的良性肿瘤，常见于脑室系统。我们描述了一例51岁男性病例，该患者因脑积水和进行性头痛就诊，发现右侧小脑脑桥角（CPA）有一个病变，包绕多条血管和颅神经（CN）。通过乙状窦后入路对该病变进行了次全切除，病理检查发现为室管膜下瘤。CPA室管膜下瘤是极其罕见的病变。本文讨论了该病例的神经影像学和组织病理学表现以及对类似病例的综合文献回顾。