Maruyama Gakuji, Sameshima Tetsuro, Tsuchida Takashi, Kurozumi Kazuhiko
Department of Neurosurgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Department of Pathology, Hamamatsu University School of Medicine, Hamamatsu, Japan.
Asian J Neurosurg. 2024 Jun 5;19(2):338-341. doi: 10.1055/s-0044-1787533. eCollection 2024 Jun.
Pediatric cavernous sinus meningiomas are rare. Herein, we present the case of a 5-year-old boy who presented with progressive left oculomotor nerve palsy. A head magnetic resonance imaging revealed a mass lesion in the left cavernous sinus, following which tumor resection was performed. The tumor strongly adhered to the left oculomotor nerve without adherence to the walls of the cavernous sinus; however, its border with the nerve was unclear. Histopathological analysis led to the diagnosis of fibrous meningioma. To the best of our knowledge, this is the first case study to report the pediatric development of a cavernous sinus meningioma in the oculomotor nerve.
儿童海绵窦脑膜瘤很罕见。在此,我们报告一例5岁男孩,其表现为进行性左侧动眼神经麻痹。头部磁共振成像显示左侧海绵窦有占位性病变,随后进行了肿瘤切除术。肿瘤与左侧动眼神经紧密粘连,未与海绵窦壁粘连;然而,其与神经的边界不清楚。组织病理学分析诊断为纤维型脑膜瘤。据我们所知,这是首例报道发生于动眼神经的儿童海绵窦脑膜瘤的病例研究。