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向嗅神经扩展的鞍上皮样囊肿次全切除术:一例报告

The Subtotal Removal of a Suprasellar Dermoid Cyst Expanding Toward the Olfactory Nerves: A Case Report.

作者信息

Muñoz-Hernandez Fernando, Gallardo Alberto, Granell Esther

机构信息

Neurosurgery Department, Hospital Santa Creu i Sant Pau, Barcelona, ESP.

Pathological Anatomy Department, Hospital Santa Creu i Sant Pau, Barcelona, ESP.

出版信息

Cureus. 2024 Sep 25;16(9):e70151. doi: 10.7759/cureus.70151. eCollection 2024 Sep.

Abstract

Dermoid cysts (DCs) are benign congenital lesions that originate in the ectoderm cells produced during the formation of the neural tube. They are usually located at the cerebral midline, and, on rare occasions, at the suprasellar level. In this case report, we present a 17-year-old female patient with minimal symptoms (hyposmia) caused by a suprasellar dermoid cyst extending toward the anterior cranial fossa and the olfactory nerves with subsequent frontotemporal craniotomy and the subtotal removal of the tumor. Given the rare features of this case, the chosen surgical strategy achieved tumor subtotal resection and symptom remission.

摘要

皮样囊肿(DCs)是起源于神经管形成过程中产生的外胚层细胞的良性先天性病变。它们通常位于脑中线,极少数情况下位于鞍上水平。在本病例报告中,我们介绍了一名17岁女性患者,因鞍上皮样囊肿延伸至前颅窝和嗅神经而出现轻微症状(嗅觉减退),随后接受了额颞开颅手术并次全切除肿瘤。鉴于该病例的罕见特征,所选择的手术策略实现了肿瘤次全切除和症状缓解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/414f/11513176/6ba18fded7f5/cureus-0016-00000070151-i01.jpg

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