微小后组脑神经鞘瘤七例报告  

Clinical study of 7 cases of missed diagnosis of micro - tumor of cranial nerve sheath and literature review

作　　者：赵奎明[1] 杨冬[1] 袁越[1] 张哲[1] 张黎[1] 于炎冰[1] 

机构地区：[1]卫生部中日友好医院神经外科,北京100029

出　　处：《中华神经外科杂志》2012年第7期685-687,共3页Chinese Journal of Neurosurgery

摘　　要：目的分析临床罕见的微小后组脑神经鞘瘤的临床特点，探讨其临床症状、早期诊断、手术方法和疗效。方法回顾性分析1999年9月至2009年8月我院治疗的7例临床漏诊的微小后组脑神经鞘瘤病例，总结其临床症状、早期诊断、手术方法及疗效，并结合文献进行分析。结果本组病例中共有舌咽神经鞘瘤5例、迷走神经鞘瘤1例、舌下神经鞘瘤1例。肿瘤均完全切除。术后并发症包括一过性轻度面瘫、声音嘶哑2例、吞咽困难1例。结论对出现后组脑神经症状的患者应考虑到后组脑神经鞘瘤的可能，尽快明确诊断并积极手术治疗可获得优良疗效，有利于患者的治疗和康复。Objective To analyze the clinical characteristics of the rare micro - lower cranial nerve sheath tumor, and investigate the clinical symptoms, early treatment options, as well as surgical elements/ effectiveness. Methods Seven missed diagnoses of micro - lower cranial nerve sheath tumor admitted to our department from October 1999 to August 2009 were analyzed retrospectively. Diagnosis, clinical characteristics, early treatment options, surgical elements and effectiveness were summarized and analyzed in combined with literature review. Results In this group of patients, there were 5 glossopharyngeal nerve sheath tumors, 1 vagus nerve sheath tumor and 1 hypoglossal neive sheath tumor. Total resections were achieved in all of the patients. Postoperative complications included 1 case of transient mild paralysis, 2 cases of hoarseness and 1 case of dysphagia. Conclusions For patient with lower cranial nerve symptoms, nerve sheath tumors should be taken into consideration. Early diagnosis and effective surgery will contribute to patient＇s treatment and rehabilitation.

关 键 词：微小 后组脑神经 神经鞘瘤 

分 类 号：R739.4[医药卫生—肿瘤]