主要头骨底部淋巴瘤呈现与ipsilateral绑架神经麻:一个案例报告
Alexander Schuster Bruce1, Victoria Grammatopoulou1
1Otolaryngology, Royal Surrey County Hospital, Guildford, GBR.
Cureus
|December 9, 2024
概括
一种罕见的头骨基础原发性淋巴瘤病例呈现为abducens神经麻. 这种扩散的大B细胞淋巴瘤需要化疗和向治疗.
科学领域:
- 神经学 神经学
- 在瘤学瘤学.
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 头骨基淋巴瘤很少见,通常呈现出微妙或非特异性的症状.
- 神经 (CN VI) 麻可能是骨底部病理的早期指标,包括恶性瘤.
- 头骨底部的初级骨淋巴瘤是非常罕见的.
研究的目的:
- 报告一种罕见的头骨基础原发性淋巴瘤病例,呈现出孤立的神经麻.
- 要突出诊断挑战和管理这个罕见的瘤实体.
- 为了强调彻底的神经成像在神经的病例的重要性.
主要方法:
- 一个66岁的女性呈现了双眼视和眼.
- 神经学检查显示,孤立的左神经.
- 诊断工作包括CT,MRI,PET扫描和状鼻活检.
主要成果:
- 图像检测显示左侧状鼻中有一个大,先进的瘤,骨底部和周围神经延伸.
- 组织病理学证实高度扩散大B细胞淋巴瘤,通过PET扫描确定为原发性骨淋巴瘤.
- 瘤扩张进展,尽管最初的治疗与 MATRIX 化疗和向治疗.
结论:
- 主要头骨基淋巴瘤可以表现为孤立的神经麻.
- 多模式成像和活检对于诊断至关重要.
- 管理需要化学疗法和向治疗的组合,有进展的潜力.
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