Shibao Shunsuke, Yoshida Kazunari, Sogano Junki, Mizutani Katsuhiro, Tomita Hideyuki
Department of Neurosurgery, Ashikaga Red Cross Hospital, Ashikaga, Tochigi, Japan.
Department of Neurosurgery, Keio University School of Medicine, Tokyo, Japan.
NMC Case Rep J. 2022 Jun 21;9:171-176. doi: 10.2176/jns-nmc.2021-0423. eCollection 2022.
We report a rare case of hypoglossal canal meningioma in a 65-year-old woman who presented with dysphagia. Neurological examination revealed left hypoglossal nerve palsy. Head computed tomography and magnetic resonance imaging revealed a lesion around the left hypoglossal canal. She underwent a total resection with a midline suboccipital transcondylar approach. There were no postoperative complications, and the hypoglossal nerve palsy improved. There was no recurrence nine months after the surgery. Choosing a surgical approach that considers the site of origin and extent of tumor extension is important.
我们报告了一例罕见的舌下神经管脑膜瘤病例，患者为一名65岁女性，表现为吞咽困难。神经系统检查发现左侧舌下神经麻痹。头部计算机断层扫描和磁共振成像显示左侧舌下神经管周围有一个病变。她接受了经枕下中线经髁入路的全切除术。术后无并发症，舌下神经麻痹有所改善。术后九个月无复发。选择考虑肿瘤起源部位和扩展范围的手术入路很重要。
