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累及脑桥前区的巨大展神经神经瘤:病例报告

Large sixth nerve neuroma involving the prepontine region: case report.

作者信息

Okada Y, Shima T, Nishida M, Okita S

机构信息

Department of Neurosurgery, Shimane Medical University, Japan.

出版信息

Neurosurgery. 1997 Mar;40(3):608-10. doi: 10.1097/00006123-199703000-00035.

DOI:10.1097/00006123-199703000-00035
PMID:9055302
Abstract

OBJECTIVE AND IMPORTANCE

Tumors originating from the cranial nerves are uncommon, except for the acoustic and trigeminal neuromas. The sixth nerve, however, has the potential to generate neuromas with characteristic clinical features.

CLINICAL PRESENTATION

A 54-year-old woman presented with diplopia and increased intracranial pressure. Magnetic resonance imaging showed a large mass in the prepontine region. Surgery was performed via a condylar approach and demonstrated a tumor originating from the prepontine portion of the sixth nerve.

CONCLUSION

The sixth nerve neuroma at the pontomedullary junction showed characteristic clinical features and could be successfully removed via a condylar approach.

摘要

目的及重要性

除听神经瘤和三叉神经瘤外,起源于颅神经的肿瘤并不常见。然而,第六神经有产生具有特征性临床特征的神经瘤的可能。

临床表现

一名54岁女性出现复视和颅内压升高。磁共振成像显示脑桥前区有一个大肿块。通过髁突入路进行手术,发现肿瘤起源于第六神经的脑桥前部分。

结论

脑桥延髓交界处的第六神经神经瘤表现出特征性临床特征,可通过髁突入路成功切除。

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