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伴有椎基底动脉延长扩张及双侧巩膜脉络膜钙化的持续性颅咽管(3C型)

Persistent Craniopharyngeal Canal (Type 3C) with Vertebrobasilar Dolichoectasia and Bilateral Sclerochoroidal Calcification.

作者信息

Charan Bheru Dan, Jain Savyasachi, Gaikwad Shailesh B

机构信息

Department of Neuroimaging and Interventional Neuroradiology, All India Institute of Medical Sciences, New Delhi, India.

Department of Radio-diagnosis, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

出版信息

Asian J Neurosurg. 2024 Oct 22;20(1):170-173. doi: 10.1055/s-0044-1791948. eCollection 2025 Mar.

Abstract

The persistent craniopharyngeal canal is a rare, well-corticated midline congenital bony defect through the sphenoid bone between the sellar floor and the nasopharyngeal roof. The prevalence of persistent craniopharyngeal canal is reported to be 0.42%. A 42-year-old male was evaluated for nasal discharge and progressive vision loss; and underwent computed tomography and magnetic resonance imaging, which revealed a large craniopharyngeal canal with ectopic pituitary, lipoma, encephalocele, deformed globe with sclerochoroidal calcification and vertebrobasilar dolichoectasia. The presence of orbital and optic tract malformation, craniofacial anomalies, and tumors can be associated with the craniopharyngeal canal.

摘要

持续性颅咽管是一种罕见的、边界清晰的中线先天性骨缺损,穿过蝶骨,位于鞍底和鼻咽顶之间。据报道,持续性颅咽管的患病率为0.42%。一名42岁男性因鼻分泌物增多和进行性视力丧失接受评估;并进行了计算机断层扫描和磁共振成像,结果显示一个大的颅咽管,伴有异位垂体、脂肪瘤、脑膨出、眼球变形伴巩膜脉络膜钙化以及椎基底动脉迂曲扩张。眼眶和视路畸形、颅面异常和肿瘤的存在可能与颅咽管有关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/487d/11875715/9733ced60e65/10-1055-s-0044-1791948-i2480008-1.jpg

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