Endoscopic endonasal approach to the cavernous sinus Epstein-Barr virus–positive B cell non-Hodgkin lymphoma in a child: case report

Autor: Yusuf Izci, Mehmet Ozan Durmaz, Mukerrem Safali, Murat Kutlay, Ömer Kartal, Adem Doğan
Rok vydání: 2021
Předmět:
Zdroj: Child's Nervous System. 38:795-799
ISSN: 1433-0350
0256-7040
DOI: 10.1007/s00381-021-05269-7
Popis: Cavernous sinus (CS) lymphoma without paranasal sinuses involvement is extremely rare in pediatric population and remains a diagnostic challenge due to its similarity to other tumors located in this area. An 8-year-old boy presented with a 6-day history of gradually developing ptosis in the right eyelid. After admission, his symptoms progressed within 24 h to include right-sided ophthalmoplegia consisting of oculomotor and abducens nerve palsies. Endoscopic endonasal approach (EEA) was performed urgently to decompress the CS and to obtain a diagnosis. The postoperative course was uneventful, and there was no complication related to the surgical approach. No immunodeficiency was identified. The histopathological diagnosis was an Epstein-Barr virus (EBV)-positive high-grade mature B cell non-Hodgkin lymphoma. He was initiated chemotherapy according to COG ANHL01P1 protocol. Two months after surgery, the third and sixth nerve palsies had resolved completely. Currently, he is well and has no clinical or radiological recurrence. This is the first pediatric case with EBV-positive CS lymphoma that underwent EEA for the diagnosis and decompression. In the pediatric population, EEA enables minimally invasive access to the CS and can play an alternative role in the management of CS lesions, either through biopsy or debulking.
Databáze: OpenAIRE
Externí odkaz: