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Nasoethmoid schwannoma with intracranial extension. Case report and review of literature.

机译:鼻筛窦神经鞘瘤伴颅内扩张。病例报告和文献复习。

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摘要

A 27-year-old woman presented with a six-month history of intermittent headache and a 2-week history of blurring of vision. Subsequently a 4 cm large enhancing lesion in the left frontal parafalcine region with a small extension into the nasoethmoid sinus was found. This was thought to be either an anterior cranial fossa meningioma or an esthesioblastoma. However after uneventful gross total excision of this lesion via a frontal craniotomy, the histology came back as a schwannoma. Only seven cases of nasoethmoid schwannoma with intracranial extension have been reported before and this case is unique in that almost all of the tumour was intracranial. We review the literature and discuss the origin of these tumours.
机译:一名27岁的女性出现了六个月的间歇性头痛病史和2周的视力模糊史。随后在左额乳腺小叶旁区发现一个4厘米大的增强病变,并向鼻窦筛窦小幅扩展。人们认为这可能是前颅窝脑膜瘤或雌母细胞瘤。然而,在通过额叶开颅术对该病灶进行了平稳的总体切除之后,组织学又恢复为神经鞘瘤。以前仅报道了7例颅内扩张的鼻筛窦神经鞘瘤,这种病例的独特之处在于几乎所有肿瘤都是颅内的。我们回顾了文献并讨论了这些肿瘤的起源。

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