鼻窦骨瘤合并黏液囊肿硬膜内扩展：病例报告
Intradural extension of mucocele complicating frontoethmoid sinus osteoma: case report.
作者信息
Manaka H, Tokoro K, Sakata K, Ono A, Yamamoto I
机构信息
Department of Neurosurgery, Yokohama City University School of Medicine, Kanagawa-ken, Japan.
出版信息
Surg Neurol. 1998 Nov;50(5):453-6. doi: 10.1016/s0090-3019(97)00162-6.
BACKGROUND
Osteomas of the paranasal sinus are often asymptomatic and are sometimes complicated by mucoceles, but intradural extension of such a mucocele has rarely been reported.
CASE DESCRIPTION
This 67-year-old man with complaint of headache was diagnosed as having an intradural extension of a mucocele complicating an osteoma of the frontoethmoid sinus. A right frontobasal craniotomy was performed and a mucocele in the frontal sinus extending into the frontal lobe through two dural defects and the osteoma was removed completely. The patient was successfully treated without recurrence.
CONCLUSION
The importance of radical surgery for such lesions and the relationship between osteomas and mucoceles are discussed.
背景
鼻窦骨瘤通常无症状，有时会并发黏液囊肿，但这种黏液囊肿向硬膜内扩展的情况鲜有报道。
病例描述
该67岁男性因头痛就诊，被诊断为黏液囊肿向硬膜内扩展，并发额筛窦骨瘤。行右额底部开颅手术，切除了经两个硬膜缺损处延伸至额叶的额窦黏液囊肿及骨瘤。患者治疗成功，未复发。
结论
讨论了对此类病变进行根治性手术的重要性以及骨瘤与黏液囊肿之间的关系。
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