Diagnosis and treatment of cavernous sinus neurinoma  

作　　者：吴震 

机构地区：[1]Dept Neurosurg, Tiantan Hosp.Beijing 100050

出　　处：《外科研究与新技术》2003年第2期102-102,共1页Surgical Research and New Technique

摘　　要：Objective To study the diagnosis and microneuro-smgical treatment of cavernous sinus neurinoma. Methods Twenty-two patients with cavernous sinus neurinoma which had diagnosed by MRI were operated on by microsurgery. Fourteen patients received excision of tumor through frontotemporal approach with zygomatic osteotomy and, 8 patients via subtemporal and suboccipital transtentorial approaches. Results Total resection was achieved in 21 patients (95.5%),and subtotal resection in 1.There was no operative death. The all operative samples were confirmed neurinoma pathohistologically. The symptoms postoperation such as headache and exophthalmos were reduced. Three months after operation, the function of the 6th nerve was improved in 12 of 19 patients with paresis of the 6th nerve. One patient with hemiplegia recovered well. The function of the 3th nerve recovered in 4 of 6 patients with recurrent paresis of the 3th nerve. Those patients with hydrocephalus were improved after operation. The patients wereObjective To study the diagnosis and microneuro-smgical treatment of cavernous sinus neurinoma. Methods Twenty-two patients with cavernous sinus neurinoma which had diagnosed by MRI were operated on by microsurgery. Fourteen patients received excision of tumor through frontotemporal approach with zygomatic osteotomy and, 8 patients via subtemporal and suboccipital transtentorial approaches. Results Total resection was achieved in 21 patients (95.5%),and subtotal resection in 1.There was no operative death. The all operative samples were confirmed neurinoma pathohistologically. The symptoms postoperation such as headache and exophthalmos were reduced. Three months after operation, the function of the 6th nerve was improved in 12 of 19 patients with paresis of the 6th nerve. One patient with hemiplegia recovered well. The function of the 3th nerve recovered in 4 of 6 patients with recurrent paresis of the 3th nerve. Those patients with hydrocephalus were improved after operation. The patients were follow up 8-60 months (mean 20 months). No tumor recurrence was observed Conclusion Cavernous simus neurinoma can be remoed successfully via subtemporal and suboccipital traristentorial approaches. 9 refs.

关 键 词：CAVERNOUS SINUS EXCISION HEADACHE operated recovered OPERATIVE 

分 类 号：R730.4[医药卫生—肿瘤] R730.5[医药卫生—临床医学]