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儿童动眼神经海绵窦脑膜瘤:一例手术病例研究

Cavernous Sinus Meningioma of the Oculomotor Nerve in a Child: A Surgical Case Study.

作者信息

Maruyama Gakuji, Sameshima Tetsuro, Tsuchida Takashi, Kurozumi Kazuhiko

机构信息

Department of Neurosurgery, Hamamatsu University School of Medicine, Hamamatsu, Japan.

Department of Pathology, Hamamatsu University School of Medicine, Hamamatsu, Japan.

出版信息

Asian J Neurosurg. 2024 Jun 5;19(2):338-341. doi: 10.1055/s-0044-1787533. eCollection 2024 Jun.

DOI:10.1055/s-0044-1787533
PMID:38974446
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11226261/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb1b/11226261/7b846fe17925/10-1055-s-0044-1787533-i23120013-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb1b/11226261/c926f474752f/10-1055-s-0044-1787533-i23120013-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb1b/11226261/bca0c2f8339e/10-1055-s-0044-1787533-i23120013-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb1b/11226261/76ed4c9ef988/10-1055-s-0044-1787533-i23120013-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb1b/11226261/7b846fe17925/10-1055-s-0044-1787533-i23120013-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb1b/11226261/c926f474752f/10-1055-s-0044-1787533-i23120013-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb1b/11226261/bca0c2f8339e/10-1055-s-0044-1787533-i23120013-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb1b/11226261/76ed4c9ef988/10-1055-s-0044-1787533-i23120013-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fb1b/11226261/7b846fe17925/10-1055-s-0044-1787533-i23120013-4.jpg

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本文引用的文献

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Meningothelial meningioma of the oculomotor nerve: A case report and review of the literature.动眼神经的脑膜皮型脑膜瘤:一例报告并文献复习
Surg Neurol Int. 2020 Oct 2;11:314. doi: 10.25259/SNI_312_2020. eCollection 2020.
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Spinal Accessory Nerve Meningioma at the Foramen Magnum with Medullar Compression: A Case Report and Literature Review.颈椎管内脊副神经脑膜瘤合并脊髓压迫:病例报告及文献复习。
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