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酷似三叉神经鞘瘤的梅克尔腔哑铃形脑膜瘤:一例报告

Dumbbell-shaped meningioma of Meckel's cave mimicking trigeminal schwannoma: A case report.

作者信息

Chang Chun-Pi, Chang Cheng-Siu, Yang Meng-Yin, Shen Chiung-Chyi

机构信息

Department of Neurosurgery, Neurological Institute, Taichung Veterans General Hospital, Taichung, Taiwan, ROC; Institute of Biomedical Sciences, National Chung Hsing University, Taichung, Taiwan, ROC.

Department of Neurosurgery, Chung-Shan Medical University Hospital School of Medicine, Taichung, Taiwan, ROC; Institute of Medicine, Chung-Shan Medical University, Taichung, Taiwan, ROC.

出版信息

Int J Surg Case Rep. 2022 Aug;97:107369. doi: 10.1016/j.ijscr.2022.107369. Epub 2022 Jul 5.

Abstract

INTRODUCTION AND IMPORTANCE

Several meningioma cases arising through Meckel's cave (MC) at the middle and posterior fossa have been reported. However, few relevant meningiomas have been observed with a dumbbell shape.

PRESENTATION OF CASE

We report a rare case of a 36-year-old woman with a meningioma of MC with a typical dumbbell-shaped, schwannoma-like presentation on magnetic resonance imaging (MRI), resulting in a misleading differential diagnosis.

CLINICAL DISCUSSION

In this case report, we discuss the characteristics of meningioma of MC observed on MRI and our surgical approach to this condition.

CONCLUSION

This tumor was able to mimic a trigeminal schwannoma both clinically and radiographically. This case report has been reported in line with the SCARE 2020 criteria [1].

摘要

引言与重要性

已有报道称,中后颅窝有几例脑膜瘤起源于 Meckel 腔(MC)。然而,很少观察到呈哑铃状的相关脑膜瘤。

病例介绍

我们报告了一例罕见病例,一名 36 岁女性患有 MC 脑膜瘤,在磁共振成像(MRI)上呈现典型的哑铃状、神经鞘瘤样表现,导致鉴别诊断出现误导。

临床讨论

在本病例报告中,我们讨论了 MRI 上观察到的 MC 脑膜瘤的特征以及我们针对这种情况的手术方法。

结论

该肿瘤在临床和影像学上均能模拟三叉神经鞘瘤。本病例报告已按照 SCARE 2020 标准[1]进行报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7568/9403013/bf42ad1a7118/gr1.jpg

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