背景:骨内岩性先端神经鞘瘤是一种极为罕见的实体;对其流行病学知之甚少,自然史,和术后结果。
方法:这里,我们介绍了第四例已知的原发性岩尖骨内神经鞘瘤:一名68岁的女性,表现为复视,面部麻木,进行性间歇性眩晕,耳鸣,听力减弱,和共济失调.她接受了经肌途径对肿瘤进行次全切除,随后进行了立体定向放射外科手术。
结论:我们的2年随访表明,在这些肿瘤的治疗中,多模式管理的缓慢增长和成功。我们回顾了先前关于岩尖神经鞘瘤的3份报告,并确定了统一的影像学和临床特征,以帮助将来对岩尖病变的诊断考虑。
BACKGROUND: Intraosseous petrous apex schwannomas are an exceedingly rare entity; little is known about their epidemiology, natural history, and postoperative outcomes.
METHODS: Here, we present the fourth known case of a primary intraosseous schwannoma of the petrous apex: a 68-year-old woman presenting with diplopia, facial numbness, progressive intermittent vertigo, tinnitus, diminished hearing, and ataxia. She underwent a transtemporal approach for subtotal resection of the tumor with subsequent stereotactic radiosurgery.
CONCLUSIONS: Our 2-year follow-up demonstrates slow growth and success of multimodal management in the treatment of these tumors. We review the 3 prior reports of petrous apex schwannomas and identify unifying radiographic and clinical characteristics to aid future diagnostic considerations of lesions of the petrous apex.