■额窦骨母细胞瘤,虽然罕见,可以表现为癫痫发作和气颅,强调全面评估和完整手术切除的重要性,以防止严重并发症并确保最佳患者预后。
■骨母细胞瘤是一种罕见的骨肿瘤,起源于椎骨和长骨。虽然颅面受累很少,它可能发生在鼻旁窦等区域。我们介绍了一个位于额窦的骨母细胞瘤病例,一个异常罕见的网站,导致继发于气颅的癫痫发作。一名21岁的男性表现为全身性强直阵挛性癫痫发作和后意识错乱。影像学检查显示,左额窦存在明确的病变,导致皮质破裂,后壁的破坏,还有气颅.通过双额开颅术进行了全手术切除。组织病理学分析证实了骨母细胞瘤的诊断。术后恢复顺利,随访CT扫描显示病灶完全切除。成骨细胞瘤,尤其是在颅窦,是罕见的实体,可能无症状存在,但可导致严重的并发症。复发的风险强调了完全手术切除对最佳患者预后的重要性。
UNASSIGNED: Osteoblastoma of the frontal sinus, although rare, can manifest with seizures and
pneumocephalus, underscoring the importance of thorough evaluation and complete surgical excision to prevent serious complications and ensure optimal patient outcomes.
UNASSIGNED: Osteoblastoma is an infrequent bone tumor, with origins typically in the vertebrae and long bones. While craniofacial involvement is rare, it may occur in regions such as the paranasal sinuses. We present a case of osteoblastoma located in the frontal sinus, an exceptionally uncommon site, resulting in seizures secondary to
pneumocephalus. A 21-year-old male presented with a generalized tonic-clonic seizure and postictal confusion. Imaging studies revealed a well-defined lesion in the left frontal sinus causing cortical breach, destruction of the posterior wall, and
pneumocephalus. A total surgical excision was performed through bifrontal craniotomy. Histopathological analysis confirmed the diagnosis of osteoblastoma. Postoperative recovery was uneventful, with a follow-up CT scan showing complete lesion excision. Osteoblastomas, especially in the cranial sinuses, are rare entities that may present asymptomatically but can lead to severe complications. The risk of recurrence underscores the importance of complete surgical resection for optimal patient outcomes.