颈动脉体肿瘤伴舌下神经麻痹1例

Kaisar Haroon, Tania Taher, S. Alam, N. Huq, S. S. Hossain
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摘要

目的:颈动脉体瘤是一种罕见的肿瘤。本文报告一例右侧颈动脉体肿瘤累及右侧舌下神经的MRI表现和病理特征。目的是提出一个病例舌下神经麻痹由于颈动脉体肿瘤累及右颈动脉分叉。方法:一名18岁男性,右颈部明显肿胀,声音嘶哑加重,左舌偏伸2年,行CT颈部和MRI检查。肿瘤确诊后,患者接受了手术治疗。病理报告提示为颈动脉体瘤。结果:患者术后症状明显好转。他的舌头歪斜有所改善,声音嘶哑也开始有所改善。结论:颈动脉体肿瘤是一种类似其他病理的良性病变。高度的怀疑、影像学和仔细的切除对于避免并发症是很重要的。孟加拉国心脏杂志2019;34(1): 68-72
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Carotid body Tumour with Hypoglossal Nerve Palsy- A Case Report
Objective: Carotid body tumour is a rare tumour. This is a case report of carotid body tumour of the right side involving the right hypoglossal nerve with MRI appearance and pathological features. The objective is to present a case of Hypoglossal nerve palsy due to carotid body tumour involving the right carotid artery bifurcation. Method: A 18-year old male presented with a welldefined swelling of his right neck, increasing hoarseness, and left ward tongue deviation on protrusion present for two years CT neck and MRI were done. The tumour was identified and the patient underwent surgery. His Histopathology report commented it to be carotid body tumour. Result: The patient showed significant improvement after surgery. His tongue deviation improved and his hoarseness of voice had been begun to improve. Conclusion: Carotid body tumours are benign lesion mimicking other pathology. High level of suspicision, imaging and careful resection is important for avoiding complications. Bangladesh Heart Journal 2019; 34(1) : 68-72
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