Pediatric subcutaneous nasal glial heterotopia.

Surgical neurology international Pub Date : 2025-01-03 eCollection Date: 2025-01-01 DOI:10.25259/SNI_93_2024
Moajeb Turki Alzahrani, Balgess Abdullah Ajlan, Alaa Samkari, Afnan Mahfouz Samman
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Abstract

Background: Nasal glial heterotopias (NGHs) are benign lesions diagnosed at birth that are treated with complete surgical excision and have a low recurrence rate. The impact of the timing of resection on the patients' outcome remains unclear.

Case description: We report a case of pediatric midline subcutaneous extranasal glial heterotopia over the nasal bridge in a 4-day-old female newborn. At the age of 6 months, she underwent a complete surgical excision. Follow-up magnetic resonance imaging at 3 years showed no evidence of recurrence. A summary of the 19 published cases of the specific entity of purely subcutaneous extranasal glial heterotopia among the pediatrics age group in the literature is presented, and the timing of surgery in relation to outcome is discussed.

Conclusion: Our review revealed that surgery for NGH can be safely performed when the child is 6-12 months old, and the child should be followed probably until school age.

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小儿皮下鼻胶质异位。
背景:鼻胶质异位(NGHs)是出生时诊断的良性病变,可通过完全手术切除治疗,复发率低。切除时间对患者预后的影响尚不清楚。病例描述:我们报告一例小儿中线鼻外神经胶质异位在鼻梁上的4天大的女性新生儿。在6个月大的时候,她接受了完全的手术切除。随访3年磁共振成像未见复发。本文总结了19例已发表的儿科年龄组纯皮下鼻外胶质异位的具体病例,并讨论了手术时机与结果的关系。结论:我们的综述显示,NGH的手术可以安全地在儿童6-12个月大时进行,并且可能应该跟踪儿童直到学龄期。
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