Chloroma of the Cerebellopontine Angle: A Rare Presentation

IF 1.9 4区 医学 Q3 CLINICAL NEUROLOGY World neurosurgery Pub Date : 2025-02-01 DOI:10.1016/j.wneu.2024.11.099
Gabriel S. Eli, Matheus H. Taborda, Bernardo CA. Teixeira
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Abstract

This article presents a case study of a 7-year-old female patient with a history of acute myelogenous leukemia, previously treated with chemotherapy. The patient developed acute right peripheral facial paralysis and right upper limb weakness, leading to the discovery of an extra-axial solid lesion at the right cerebellopontine angle. This lesion extended into adjacent structures with notable contrast enhancement and restricted diffusion on magnetic resonance imaging, indicative of chloroma, an extramedullary solid mass composed of myeloid precursor cells. The article discusses the clinical presentation and radiological findings, emphasizing the importance of magnetic resonance imaging in diagnosis. It details typical imaging characteristics of cerebellopontine angle chloromas and differentiates them from other intracranial tumors.
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脑桥小脑角氯瘤:罕见表现。
这篇文章提出了一个病例研究的7岁的女性患者与急性骨髓性白血病的历史,以前接受化疗。患者出现急性右周围性面瘫和右上肢无力,导致右小脑桥脑角发现轴外实性病变。病变扩展到邻近结构,磁共振成像显示对比度增强明显,扩散受限,提示绿瘤,髓前体细胞组成的髓外固体肿块。本文讨论了临床表现和影像学表现,强调了磁共振成像在诊断中的重要性。详细介绍了桥小脑角氯瘤的典型影像学特征,并与其他颅内肿瘤进行了鉴别。
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来源期刊
World neurosurgery
World neurosurgery CLINICAL NEUROLOGY-SURGERY
CiteScore
3.90
自引率
15.00%
发文量
1765
审稿时长
47 days
期刊介绍: World Neurosurgery has an open access mirror journal World Neurosurgery: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal''s mission is to: -To provide a first-class international forum and a 2-way conduit for dialogue that is relevant to neurosurgeons and providers who care for neurosurgery patients. The categories of the exchanged information include clinical and basic science, as well as global information that provide social, political, educational, economic, cultural or societal insights and knowledge that are of significance and relevance to worldwide neurosurgery patient care. -To act as a primary intellectual catalyst for the stimulation of creativity, the creation of new knowledge, and the enhancement of quality neurosurgical care worldwide. -To provide a forum for communication that enriches the lives of all neurosurgeons and their colleagues; and, in so doing, enriches the lives of their patients. Topics to be addressed in World Neurosurgery include: EDUCATION, ECONOMICS, RESEARCH, POLITICS, HISTORY, CULTURE, CLINICAL SCIENCE, LABORATORY SCIENCE, TECHNOLOGY, OPERATIVE TECHNIQUES, CLINICAL IMAGES, VIDEOS
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