伽玛刀放射外科对翼腭窝神经鞘瘤的无创治疗
Non-invasive treatment of pterygopalatine fossa schwannoma with gamma knife radiosurgery.
作者信息
Kayir Ilayda, Duzkalir A Haluk, Samanci Yavuz, Peker Selcuk
机构信息
Bahçeşehir University School of Medicine, Istanbul, Türkiye.
Gamma Knife Center, Department of Neurosurgery, Koç University Hospital, Istanbul, Türkiye.
出版信息
J Laryngol Otol. 2025 Apr;139(4):323-325. doi: 10.1017/S0022215124001725.
BACKGROUND
Surgical resection for pterygopalatine fossa schwannomas can be challenging due to the complex anatomy and potential morbidity. Gamma knife radiosurgery (GKRS) offers a minimally invasive alternative with precise targeting and minimal damage to surrounding structures.
CASE REPORT
A 21-year-old female patient who had a history of progressive left-sided facial numbness over the past year and was diagnosed with progressive pterygopalatine fossa schwannoma underwent gamma knife radiosurgery. The radiological and clinical outcomes of the patient were evaluated over a period of 15 years, with the patient remaining symptom-free and experiencing no adverse effects from the treatment.
CONCLUSION
The patient's positive outcome, with significant tumour reduction and symptom relief, underscores the potential of this non-invasive technique as a primary treatment modality for schwannomas in challenging anatomical locations.
背景
由于翼腭窝神经鞘瘤的解剖结构复杂且存在潜在的发病率，对其进行手术切除具有挑战性。伽玛刀放射外科手术（GKRS）提供了一种微创替代方案，具有精确的靶向性，对周围结构的损伤最小。
病例报告
一名21岁女性患者，在过去一年中有进行性左侧面部麻木的病史，被诊断为进行性翼腭窝神经鞘瘤，接受了伽玛刀放射外科手术。对该患者的影像学和临床结果进行了15年的评估，患者一直无症状，且未出现治疗的不良反应。
结论
患者取得了积极的结果，肿瘤显著缩小且症状缓解，这突出了这种非侵入性技术作为在具有挑战性的解剖位置的神经鞘瘤的主要治疗方式的潜力。
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