Abducens Nerve Palsy Caused by a Cavernous Sinus Chondroma-A Case Report

海綿竇內軟骨瘤導致之外旋神經麻痺―病例報告

胡兆宇(Chao-Yu Hu) ； 翁林仲(Lin-Chung Woung) ； 陳寶全(Paul-Chuan Chen) ； 周介仁(Jien-Ren Jou)

《中華民國眼科醫學會雜誌》 36卷2期 (1997/06) Pp. 140-144

https://doi.org/10.30048/ACTASOS.199706.0011

摘要

顱內軟骨瘤是一種極為罕見的顱內腫瘤，全世界報告的病例不超過兩百例。而本病例的臨床表現亦相當特別：病人是一名二十五歲男性，主訴是長達半年的雙眼複視與左顳部頭痛；眼科學檢查的結果是左外旋神經麻痺，頭部電腦斷層掃描以及磁振造影顯示有一大小約3.0×5.0×2.5立方公分的腫瘤存在左海綿竇中，並向右延伸直到右海綿竇；經手術切除後，病理切片確認為軟骨瘤。

並列摘要

A 25-year-old male suffered from progressive binocular double vision and left temporal headache for about half a year. He then developed left periorbital pain, and left lower facial numbness. Ophthalmic examinations revealed lateral gaze palsy (OS). Computed tomography (CT) of brain showed a soft tissue mass at the left parasella and prepontine cistern. Magnetic resonance imaging (MRI) showed the left cavernous sinus was also involved. The surgical intervention was performed, and the final diagnosis of a chondroma was established on microscopic examination. We report this case of abducens nerve palsy caused by a rare cavernous sinus chondroma.

並列關鍵字

abducens nerve palsy ； cavernous sinus ； chondroma