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Neurological Surgery 脳神経外科45巻4号

2017年04月発行

文献概要

症例

舌下神経麻痺単独症状で発症した大孔部髄膜腫の1手術例

著者: 井中康史1 大谷直樹1 西田翔1 上野英明1 富山新太1 戸村哲1 豊岡輝繁1 和田孝次郎1 森健太郎1

所属機関: 1防衛医科大学校脳神経外科

ページ範囲:P.345 - P.350

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Ⅰ.はじめに
 大孔部髄膜腫はすべての頭蓋内髄膜腫のうちおおむね1.5〜3%5,8,21),後頭蓋窩髄膜腫の6.5%と言われており,比較的稀である5,8).その多くは後頭部痛,後頚部痛,歩行障害,感覚障害など多様な症状で発症するが5),舌下神経麻痺単独で発症することは稀である.
 今回われわれは,舌下神経麻痺のみで発症した大孔部髄膜腫をtranscondylar approachにて全摘出し,症状が改善した症例を経験したので,文献的考察を含めて報告する.

参考文献

1) Akalan N, Seçkin H, Kiliç C, Ozgen T:Benign extramedullary tumors in the foramen magnum region. Clin Neurol Neurosurg 96:284-289, 1994
2) Arnautović KI, Al-Mefty O, Husain M:Ventral foramen magnum meningiomas. J Neurosurg 92(1 Suppl):71-80, 2000
3) Babu RP, Sekhar LN, Wright DC:Extreme lateral transcondylar approach:technical improvements and lessons learned. J Neurosurg 81:49-59, 1994
4) Barnadas MA, Escartín A, Alomar A:Oral ulcerations as the first sign of a foramen magnum meningioma. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 90:609-611, 2000
5) Bassiouni H, Ntoukas V, Asgari S, Sandalcioglu EI, Stolke D, Seifert V:Foramen magnum meningiomas:clinical outcome after microsurgical resection via a posterolateral suboccipital retrocondylar approach. Neurosurgery 59:1177-1185, 2006
6) Bertalanffy H, Gilsbach JM, Mayfrank L, Klein HM, Kawase T, Seeger W:Microsurgical management of ventral and ventrolateral foramen magnum meningiomas. Acta Neurochir Suppl 65:82-85, 1996
7) Combarros O, Alvarez de Arcaya A, Berciano J:Isolated unilateral hypoglossal nerve palsy:nine cases. J Neurol 245:98-100, 1998
8) George B, Lot G:Foramen magnum meningiomas:a review from personal experience of 37 cases and from a cooperative study of 106 cases. Neurosurg Quart 5:149-167, 1995
9) George B, Lot G, Boissonnet H:Meningioma of the foramen magnum:a series of 40 cases. Surg Neurol 47:371-379, 1997
10) Giuffrida S, Lo Bartolo ML, Nicoletti A, Reggio E, Lo Fermo S, Restivo DA, Domina E, Reggio A:Isolated, unilateral, reversible palsy of the hypoglossal nerve. Eur J Neurol 7:347-349, 2000
11) Goel A, Desai K, Muzumdar D:Surgery on anterior foramen magnum meningiomas using a conventional posterior suboccipital approach:a report on an experience with 17 cases. Neurosurgery 49:102-107, 2001
12) Guidetti B, Spallone A:Benign extramedullary tumors of the foramen magnum. Surg Neurol 13:9-17, 1980
13) Gupta SK, Khosla VK, Chhabra R, Mukherjee KK:Posterior midline approach for large anterior/anterolateral foramen magnum tumours. Br J Neurosurg 18:164-167, 2004
14) Heros RC:Lateral suboccipital approach for vertebral and vertebrobasilar artery lesions. J Neurosurg 64:559-562, 1986
15) Keane JR:Twelfth-nerve palsy. Analysis of 100 Cases. Arch Neurol 53:561-566, 1996
16) Kikkawa Y, Shono T, Mizoguchi M, Nagata S, Sasaki T:A case of intracranial hypoglossal neurinoma without hypoglossal nerve palsy:operative view of the preserved rostral trunk. Minim Invasive Neurosurg 50:296-299, 2007
17) Li WC, Hong XY, Wang LP, Ge PF, Fu SL, Luo YN:Large cystic hypoglossal schwannoma with fluid-fluid level:a case report. Skull Base 20:193-197, 2010
18) Nanda A, Vincent DA, Vannemreddy PS, Baskaya MK, Chanda A:Far-lateral approach to intradural lesions of the foramen magnum without resection of the occipital condyle. J Neurosurg 96:302-309, 2002
19) Samii M, Klekamp J, Carvalho G:Surgical results for meningiomas of the craniocervical junction. Neurosurgery 39:1086-1095, 1996
20) Seeger W:Atlas of Topographical Anatomy of the Brain and Surrounding Structures for Neurosurgeons, Neuroradiologists, and Neuropathologists. Springer-Verlag, Wien, 1978, pp486-489
21) Silva DO, Costa LF, Kitamura MA, Câmara Jr Dde A, Silva JC, de Azevedo Filho HR:Surgical treatment of ventral foramen magnum meningiomas. Arq Neuropsiquiatr 67:1111-1113, 2009
22) Yasşargil MG, Mortara RW, Curcic M:Meningiomas of basal posterior cranial fossa. Adv Tech Stand Neurosurg 7:3-115, 1980
23) Yasuoka S, Okazaki H, Daube JR, MacCarty CS:Foramen magnum tumors. Analysis of 57 cases of benign extramedullary tumors. J Neurosurg 49:828-838, 1978

掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1251

印刷版ISSN:0301-2603

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