洞腔鼻腔的神经肠道囊:一个病例报告
Walid Elshamy1,2, Burak Ozaydin1, Sima Sayyahmelli1
1Department of Neurological Surgery, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, United States.
Journal of neurological surgery reports
|August 16, 2023
概括
神经肠道囊 (NEC) 是一种罕见的良性病变. 这个案例突出了洞穴鼻腔中的神经肠道囊,这是一个非常不寻常的位置,强调需要在囊病变的差异诊断中考虑NEC.
科学领域:
- 神经外科 神经外科
- 神经病理学神经病理学
- 放射学 放射学是一门学科.
背景情况:
- 神经肠道囊 (NECs) 通常是宫胸椎脊髓的良性,内膜外膜性病变.
- 洞穴鼻腔NEC非常罕见,这是第一个报告的成人病例.
研究的目的:
- 报告一个罕见的神经肠道囊在洞穴鼻腔的病例.
- 讨论这种罕见实体的诊断挑战和手术管理.
主要方法:
- 一名75岁的女性出现了难治的头痛和面部疼痛.
- 图像检测显示左洞腔鼻腔内有一个囊性质,包围着内 Carotid 动脉.
- 通过左侧骨切除术进行外科切除,并采用外围穿腔方法进行切除.
主要成果:
- 组织病理学证实,神经肠道囊里有呼吸道类型的上皮质.
- 手术后的成像显示了总体切除.
- 患者的症状完全消失,神经系统保持完整.
结论:
- 神经肠道囊可以发生在洞穴鼻中,并且可能被误诊.
- 应将NEC纳入洞穴鼻囊性病变的差异诊断中.
- 最大安全的外科切除是推的治疗方法.
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