Lunardi P, Farah J O, Qhaso R, Puzzilli F, Siciliano P, Di Stefano D
Department of Neurological Sciences, University of Rome, La Sapienza, Italy.
Tumori. 1996 Jul-Aug;82(4):397-400. doi: 10.1177/030089169608200421.
A case of eosinophilic granuloma of the lesser wing of the sphenoid bone is reported. The patient was a 5-year-old white male, with left temporal-frontal headache, left III cranial nerve palsy, left exophthalmos and ptosis caused by an osteolytic lesion of the anterior clinoid process extending to the left optic canal and cavernous sinus. The patient underwent surgical resection of pathologic tissue. Pathologic diagnosis was eosinophilic granuloma of the sphenoid bone. Surgical management, postoperative prognosis and differential diagnosis of eosinophilic granuloma of the skull base are discussed along with a review of the literature.
报告一例蝶骨小翼嗜酸性肉芽肿病例。患者为一名5岁白人男性，因前床突溶骨性病变延伸至左侧视神经管和海绵窦，出现左侧颞额部头痛、左侧动眼神经麻痹、左侧眼球突出及上睑下垂。患者接受了病理组织手术切除。病理诊断为蝶骨嗜酸性肉芽肿。结合文献复习，讨论了颅底嗜酸性肉芽肿的手术治疗、术后预后及鉴别诊断。
