Extradural Neuromas at the Petrous Apex: Report of Two Cases
| Autor: | Noriaki Tomura, Toshio Sasajima, Kazuo Mizoi, Shigeki Mikawa, Hiroyuki Kinouchi, Akira Suzuki |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Middle cranial fossa
Diagnosis Differential Neuroma medicine.artery otorhinolaryngologic diseases Humans Medicine Cranial Nerve Neoplasms Deep petrosal nerve medicine.cranial_nerve Trigeminal nerve business.industry Petrous Apex Anatomy Middle Aged medicine.disease Magnetic Resonance Imaging Facial nerve medicine.anatomical_structure Cavernous sinus Cavernous Sinus Female Surgery Epidural Neoplasms Neurology (clinical) Internal carotid artery Tomography X-Ray Computed business Carotid Artery Internal Petrous Bone |
| Zdroj: | Neurosurgery. 49:999-1004 |
| ISSN: | 1524-4040 0148-396X |
| DOI: | 10.1097/00006123-200110000-00041 |
| Popis: | OBJECTIVE AND IMPORTANCE: Two rare cases of middle cranial fossa neuroma located in the epidural space at the petrous apex are reported. CLINICAL PRESENTATION: Two women, aged 58 and 49 years, were admitted to our hospital with diagnoses of cavernous sinus tumor. Analysis of preoperative computed tomography scans showed bone erosion of the petrous apex, and magnetic resonance imaging demonstrated the presence of an extradural mass located along the course of the petrous internal carotid artery in both patients. INTERVENTION: The tumor was completely removed in one patient and partially removed in the other by use of the epidural middle cranial fossa transpetrosal approach. In both patients, histological examination of tumor specimens revealed neuroma. CONCLUSION: Because surgical exploration revealed that these epidural tumors adhered tightly to the internal carotid artery, and because they had no relationship to the trigeminal nerve, facial nerve, or proximal greater superficial petrosal nerve, in our opinion, these tumors originated from the distal portion of the greater superficial petrosal nerve or the deep petrosal nerve. These neuromas were mainly found in a site under the cavernous sinus at the petrous apex, a location not previously reported. |
| Databáze: | OpenAIRE |
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