偶然发现的舌咽神经瘤1例65岁女性患者:1例报告

IF 0.7 Q4 CLINICAL NEUROLOGY Egyptian journal of neurosurgery Pub Date : 2023-09-28 DOI:10.1186/s41984-023-00226-9
Kantenga Dieu Merci Kabulo, Kazuhito Takeuchi, Yasuo Yamada, Afsal Sharafundeen, Kazadi Kaluile Ntenga Kalangu, Yoko Kato
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引用次数: 0

摘要

摘要背景:舌咽神经是一种敏感神经和运动神经,发源于舌球后外侧沟,经颈静脉孔出颅骨。源自舌咽神经的神经鞘瘤极为罕见,其临床和影像学特征与听神经鞘瘤非常相似。我们报告一位65岁的女性患者,在遭受轻微的颅脑损伤后,在脑部CT扫描中意外发现舌咽神经瘤。她被带到手术室,经乙状窦后入路内镜切除肿瘤,术后过程简单而平稳。样本的组织病理学显示短梭形细胞在束状细胞中增殖,非典型性较差,部分细胞核呈架状排列,与神经鞘瘤一致。结论与前庭神经鞘瘤相比,舌咽神经鞘瘤可能没有明显的压迫症状和体征,也可能是偶然发现的。
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Glossopharyngeal neurinoma of incidental finding in a 65-year-old female patient: case report
Abstract Background The glossopharyngeal nerve is both a sensitive and motor entity that emerges from the posterior lateral sulcus of the bulb and exits the skull through the jugular foramen. Schwannomas arising from glossopharyngeal nerves are extremely rare, and the clinical and imaging features of glossopharyngeal schwannomas closely resemble that of acoustic schwannomas. Case presentation We report a case of a 65-year-old female patient with glossopharyngeal neurinoma of incidental finding on brain CT scan requested after she sustained a minor traumatic brain injury. She was taken to the operating room, and the tumor was excised endoscopically via a retrosigmoid approach and the postoperative course was simple and uneventful. Histopathology of the sample showed short spindle-shaped cells with poor atypia proliferated in fascicles, and shelf-like arrangement of nuclei was seen partially, which was in keeping with a neurinoma. Conclusions Glossopharyngeal neurinoma may not present with obvious symptoms and signs related to its compression and may also be found incidentally compared to its counterpart vestibular schwannoma.
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