海绵窦区三叉神经鞘瘤的诊断与治疗  

The diagnose and treatment of intracavernous Trigeminal schwannomas

作　　者：李美娜[1] 洪新雨[1] 李蕴潜[1] 张显峰[1] 许海洋[1] 赵刚[1] 

机构地区：[1]吉林大学白求恩第一医院,吉林长春130021

出　　处：《中风与神经疾病杂志》2013年第3期226-228,共3页Journal of Apoplexy and Nervous Diseases

摘　　要：目的探讨海绵窦区三叉神经鞘瘤的临床特点及治疗方案。方法总结6例海绵窦区三叉神经鞘瘤的临床表现及影像学资料,评估经额颞颧硬膜外入路切除的手术疗效。结果患者首发症状主要为三叉神经症状,影像学显示肿瘤位于海绵窦区,增强呈现不均一强化,6例患者肿瘤完全切除。无手术死亡病例,术后未出现严重并发症。结论海绵窦区三叉神经鞘瘤较为少见,具有自身临床特点,可采用额颞颧硬膜外手术方法可以最大限度切除侵入海绵窦区三叉神经鞘瘤。Objective The purpose of this study is to evaluate the efficacy of the fronto-temporal epidural approach in managing intracavernous trigeminal schwannomas and clinical manifestation. Methods 6 unselected patients harboring an intracavernous trigeminal schwannoma were operated on. Each of them was cured by a single craniotomy. In all cases the fronto-temporal zygomatic epidural approach was performed. Results The most common complaint was the the trigeminal symptoms, the tumors were located in the cavernous sinus area and hetogenesis with contrast, the complete resection of the tumor and its capsule was gained in all five cases. There was no surgical mortality. No patient developed postoperative ma- jor complications. Conclusion intracavernous trigeminal schwannoma is a rare case,fronto-temporal epidural approach can be applied for parasellar type trigeminal schwannomas, thus avoiding the exposure of the temporal lobe, and resulting in good chance for total excision of the tumor together with minimal surgical complications.

关 键 词：额颞颧硬膜外入路 海绵窦区 三叉神经鞘瘤 

分 类 号：R739.41[医药卫生—肿瘤]