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伪装成颅底恶性肿瘤的蝶窦黏液囊肿。

Sphenoid sinus mucocele masquerading as a skull base malignancy.

作者信息

Shikowitz M J, Goldstein M N, Stegnjajic A

出版信息

Laryngoscope. 1986 Dec;96(12):1405-10. doi: 10.1288/00005537-198612000-00018.

DOI:10.1288/00005537-198612000-00018
PMID:3784748
Abstract

Mucoceles of the sphenoid sinus are rare. Only occasional reports have appeared in the medical literature since they were first described by Berg in 1889. The sphenoid sinus lies deep within the skull at the crossroads of 13 sensitive structures. The presence of a sphenoid sinus mucocele may be accompanied by a wide variety of signs and symptoms depending upon which of these structures are involved. The majority of these lesions are initially misdiagnosed as malignancies leading to increased patient morbidity and possible mismanagement. We present two cases of sphenoid sinus mucoceles which presented with a variety of neurological signs and symptoms. The radiographic findings were felt to be consistent with skull base malignancies. The diagnosis was corrected only after surgical exploration of the sphenoid sinus revealed a mucocele.

摘要

蝶窦黏液囊肿很罕见。自1889年被伯格首次描述以来,医学文献中仅有零星报道。蝶窦位于颅骨深处,处于13个敏感结构的交汇处。蝶窦黏液囊肿的存在可能伴有各种各样的体征和症状,这取决于哪些结构受到累及。这些病变大多数最初被误诊为恶性肿瘤,导致患者发病率增加以及可能的治疗不当。我们报告两例蝶窦黏液囊肿病例,它们表现出各种神经学体征和症状。影像学检查结果被认为与颅底恶性肿瘤一致。仅在对蝶窦进行手术探查发现黏液囊肿后,诊断才得以纠正。

相似文献

1
Sphenoid sinus mucocele masquerading as a skull base malignancy.伪装成颅底恶性肿瘤的蝶窦黏液囊肿。
Laryngoscope. 1986 Dec;96(12):1405-10. doi: 10.1288/00005537-198612000-00018.
2
[Mucocele of the sphenoid sinus].[蝶窦黏液囊肿]
J Neuroradiol. 2003 Sep;30(4):219-23.
3
Sphenoid sinus mucocele: case report of an appearance on a panoramic radiograph.蝶窦黏液囊肿:全景X线片表现的病例报告
Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2002 Jun;93(6):747-50. doi: 10.1067/moe.2002.122505.
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Sphenoid sinus mucocele presenting with isolated oculomotor nerve palsy.表现为孤立性动眼神经麻痹的蝶窦黏液囊肿
J Med Assoc Thai. 2001 Sep;84(9):1340-3.
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Mucoceles of the sphenoid sinus.蝶窦黏液囊肿
Eur J Radiol. 2004 Jul;51(1):1-5. doi: 10.1016/j.ejrad.2003.09.002.
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Anterior clinoid mucocele masquerading as retrobulbar neuritis.伪装成球后视神经炎的前床突黏液囊肿。
Ophthalmic Plast Reconstr Surg. 1996 Sep;12(3):171-3. doi: 10.1097/00002341-199609000-00003.
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[Sphenoid sinus mucocele of unusual aetiology and location].[病因及位置异常的蝶窦黏液囊肿]
Rev Laryngol Otol Rhinol (Bord). 2006;127(3):165-70.
8
Neurosurgical aspects of sphenoid sinus mucocele.蝶窦黏液囊肿的神经外科相关问题
Br J Neurosurg. 1998 Dec;12(6):527-30. doi: 10.1080/02688699844376.
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Sphenoid sinus mucocele.蝶窦黏液囊肿
BMJ Case Rep. 2012 Oct 22;2012:bcr2012007130. doi: 10.1136/bcr-2012-007130.
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[Symptomatology of sphenoid sinus mucoceles].[蝶窦黏液囊肿的症状学]
HNO. 1983 May;31(5):175-6.

引用本文的文献

1
Spontaneous sphenoid sinus mucocele revealed by meningitis and brain abscess in a 12-year-old child.一名12岁儿童因脑膜炎和脑脓肿发现自发性蝶窦黏液囊肿。
AJNR Am J Neuroradiol. 2004 May;25(5):873-5.
2
Mucocele of neurosurgical interest: clinical considerations on five cases.具有神经外科意义的黏液囊肿:5例临床分析
Acta Neurochir (Wien). 1990;102(3-4):114-21. doi: 10.1007/BF01405424.