内镜经鼻颅底入路切除脑干部位外生性脑胶质瘤 1 例技术报告
Endoscopic Endonasal Excision of a Ventral Exophytic Brainstem Glioma: A Technical Case Report.
机构信息
Department of Neurosurgery, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, India.
出版信息
Oper Neurosurg (Hagerstown). 2022 Feb 1;22(2):e89-e94. doi: 10.1227/ONS.0000000000000055.
BACKGROUND AND IMPORTANCE
Ventral midbrain glioma is an extremely rare lesion in adults. The endoscopic endonasal approach is potentially a better alternative to transcranial approach for this challenging lesion and has not been described in the literature.
CLINICAL PRESENTATION
A 22-yr-old woman previously operated through an interhemispheric approach for ventral midbrain glioma with extension in the suprasellar cistern presented with severe headache and diplopia. Imaging revealed an increase in size of the residual lesion. The tumor was resected by using an extended endonasal approach. The patient had improvement in her diplopia with no endocrine complication.
CONCLUSION
This case demonstrates the surgical technique of endoscopic endonasal resection of a ventral midbrain glioma.
背景与重要性
成人的中脑腹侧胶质瘤是一种极为罕见的病变。对于这种具有挑战性的病变，经鼻内镜入路可能是优于经颅入路的更好选择，但尚未有文献对此进行描述。
临床特征
一位 22 岁的女性，此前曾通过大脑半球间入路接受过中脑腹侧胶质瘤手术治疗，肿瘤延伸至鞍上池，术后出现严重头痛和复视。影像学检查显示残留病变增大。该肿瘤通过扩展经鼻内镜入路进行切除。患者的复视症状得到改善，且无内分泌并发症。
结论
本病例展示了内镜经鼻内切除中脑腹侧胶质瘤的手术技术。
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