期刊
JOURNAL OF CLINICAL NEUROSCIENCE
卷 11, 期 5, 页码 563-566出版社
ELSEVIER SCI LTD
DOI: 10.1016/j.jocn.2003.11.012
关键词
cavernous sinus; cranio-orbitozygomatic approach; lateral rhinotomy; Rosai-Dorfman disease; sinus histiocytosis
Rosai-Dorfman disease is a rare, non-neoplastic disease characterized by an unusual proliferation of histiocytic cells. It rarely manifests intracranially, and only 50 cases of intracranial lesions have been reported. We describe an unusual case of a huge, solid mass in the paranasal sinuses, orbits, cavernous sinuses, and suprasellar cisterns. A 29-year-old patient was admitted to our hospital with nasal obstruction and proptosis and visual loss in the right eye. A biopsy was done at another institution and the diagnosis was pseudotumor of orbit. A right-sided cranio-orbitozygomatic craniotomy combined with a right-sided lateral rhinotomy was used to excise the tumor with right orbital exenteration. The histopathological diagnosis was consistent with Rosai-Dorfman disease. The patient underwent postoperative chemotherapy. Involvement of the central nervous system in Rosai-Dorfman disease is rare, but the disease's ability to mimic other pathologies underlines its importance. (C) 2003 Elsevier Ltd. All rights reserved.
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