Som P M, Zimmerman R A, Biller H F
J Comput Assist Tomogr. 1984 Feb;8(1):110-3. doi: 10.1097/00004728-198402000-00021.
Cystic hygromas most often occur in the neck in children and are benign lesions not associated with cranial nerve palsies. We present two cases in which a facial nerve paralysis was one of the presenting symptoms. The computed tomographic (CT) scans localized the lesions, suggested a diagnosis, and obviated angiography. Secondary otitis media and intraparotid invasion and hemorrhage were responsible for the reversible facial nerve palsies. We suggest that CT of the temporal bone, parotid bed, and neck is the diagnostic procedure of choice in children clinically suspected of having cystic hygroma as the cause of a facial nerve paralysis.
淋巴管瘤最常发生于儿童颈部,是与颅神经麻痹无关的良性病变。我们报告两例以面神经麻痹为首发症状之一的病例。计算机断层扫描(CT)定位了病变,提示了诊断,并避免了血管造影。继发性中耳炎、腮腺内侵犯和出血是导致可逆性面神经麻痹的原因。我们建议,对于临床上怀疑淋巴管瘤是面神经麻痹病因的儿童,颞骨、腮腺床和颈部的CT检查是首选的诊断方法。