一个由背部中脑脑内瘤诱导的双边喉神经麻病例
Junya Kawamura1, Yukiko Shimizu1, Hitoshi Tabuchi1
1Department of Ophthalmology, Saneikai Tsukazaki Hospital, Himeji, JPN.
Cureus
|December 1, 2025
概括
一种罕见的内脂瘤导致了双侧三神经麻. 眼手术纠正了导致的双眼和视觉扭曲,突出显示脂瘤是神经麻的原因.
科学领域:
- 神经瘤学神经瘤学
- 眼科医生 眼科 眼科
- 神经学 神经学
背景情况:
- 内脂瘤是一种罕见的瘤,通常无症状.
- 它们可以通过压缩相邻结构来引起神经症状.
研究的目的:
- 报告一种罕见的双边三神经,由内脂瘤引起的病例.
- 讨论这种案件的管理和结果.
主要方法:
- 一个67岁的男子患有双眼视障碍的病例报告.
- 神经眼科检查和MRI用于诊断背部中脑脂瘤.
- 手术管理涉及双边下直肠肌的转移和衰退.
主要成果:
- 这位患者出现了双侧三角膜神经功能障碍和excyclotropia.
- 核磁共振扫描 (MRI) 证实了背部中脑脂瘤.
- 眼手术成功地纠正了眼睛对齐,并解决了双眼视.
结论:
- 内脂瘤应考虑在双侧三神经麻的差异诊断中.
- 虽然手术切除可能具有高风险,但眼手术可以有效地控制症状.
- 长期跟踪对于监测病变进展至关重要.
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