Okada Y, Shima T, Nishida M, Okita S
Department of Neurosurgery, Shimane Medical University, Japan.
Neurosurgery. 1997 Mar;40(3):608-10. doi: 10.1097/00006123-199703000-00035.
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.
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.
The sixth nerve neuroma at the pontomedullary junction showed characteristic clinical features and could be successfully removed via a condylar approach.
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。
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。
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。