Graziani N, Donnet A, Bugha T N, Dufour H, Figarella-Branger D, Grisoli F
Service de Neurochirurgie, CHU Timone-Rue St Pierre, Marseille, France.
Neurosurgery. 1994 Feb;34(2):346-9; discussion 349. doi: 10.1227/00006123-199402000-00019.
We report the case of a patient with a nasopharyngeal craniopharyngioma. The presenting symptoms included a diminished visual acuity, a dysmorphic syndrome, and impaired endocrine function. The computed tomography and magnetic resonance imaging scans showed a partially cystic tumor that had destroyed most of the craniofacial sinus and anterior part of the cranial base. The patient was operated on through a rhinoseptal approach. We found 14 similar cases in the available neurosurgical and otorhinolaryngologic literature. The pathogenesis of this tumor and more especially its origin from Rathke's pouch remnants or pharyngeal hypophysis are discussed.
我们报告了一例鼻咽颅咽管瘤患者的病例。主要症状包括视力下降、畸形综合征和内分泌功能受损。计算机断层扫描和磁共振成像扫描显示，一个部分囊性肿瘤已破坏了大部分颅面窦和颅底前部。该患者通过鼻中隔入路进行了手术。我们在现有的神经外科和耳鼻咽喉科文献中发现了14例类似病例。本文讨论了该肿瘤的发病机制，尤其是其起源于拉特克囊残余或咽垂体的情况。
