鼻侧切经蝶-上斜坡入路显微手术切除斜坡脊索瘤1例

1病例报告患者,男,38岁,因"间歇性头痛伴视物模糊1年余"入院。体检:神志清楚,双侧瞳孔等大等圆,光反射灵敏,左眼外展障碍,双眼粗略视野正常,四肢肌力、肌张力正常,腱反射正常,病理反射阴性。CT:等密度信号;MRI:T1像斜坡部位等低信号占位,向前侵入蝶窦,并破坏斜坡骨质,与脑干界线清

Transphenoidal-upslope approach by lateral rhinotomy to chordoma invading the sphenoid bone and clivus

This paper reported one patient who was treated through transphenoidal-upslope approach by lateral rhinotomy and the tumor was sucessfully removed.The patient was male of 38years old.He suffered intermittent headache with blurred vision and left eye outreach disorder for more than a year.The visual inspection showed there was dark area of the left eye lateral.CT showed slopes density placeholder and bone window showed the slope of bone quality had been severely damaged.MRI showed T1image slopes parts and other low signal placeholder forward to invade the sphenoid sinus.In addition,there was undermine the slope bone and brain stem boundaries clearly and T2images showed high-signal,inhomogeneous enhancement.We found during the operation that the slope was partially destroyed and part of the tumor was prominent to the pharynx tumor.The pathologic examination confirmed that it is chordoma.