颈静脉球瘤表现为乳头水肿1例

J. P., N. Kasturi, Farnaz A Khan, A. M. Stephen
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引用次数: 0

摘要

男,54岁,双眼头痛、视力模糊2个月。眼部检查显示双侧直肌麻痹伴乳头水肿,提示颅内压升高。脑部计算机断层扫描显示一扩张性浸润性软组织病变,导致右侧颈静脉窝和颈静脉窝溶解,提示颈静脉窝肿瘤。尽管定期服药,病人的血压一直很高,因为血管球瘤可能会释放儿茶酚胺。计划择期手术;然而,患者在诊断后4个月内发生致命的肿瘤破裂,并给予紧急神经外科干预和重症监护支持,但最终死亡。肿瘤阻塞颈静脉流出可引起颅内压升高和视力下降,需要及时进行神经外科干预。
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Glomus jugulare tumor presenting as papilledema – A rare case report
A 54-year-old male presented with headache and blurring of vision in both eyes for 2 months. Ocular examination showed bilateral lateral rectus palsy with papilledema, suggestive of raised intra-cranial pressure. A computed tomography scan of the brain revealed an expansile infiltrating soft tissue lesion causing lysis of the right petrous and jugular fossa, suggestive of a Jugular fossa tumor. The patient's blood pressure was high at all times despite regular medications because of the glomus tumor's supposed release of catecholamines. Elective surgery was planned; however, the patient developed a fatal tumor rupture within 4 months of diagnosis, for which emergency neurosurgical intervention and intensive care support were given, but he succumbed to death. Tumors obstructing the jugular outflow can cause increased intra-cranial pressure and vision loss, requiring prompt neurosurgical intervention.
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