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颈动脉体瘤是一种神经内分泌肿瘤亚群,起源于副神经节,又称为副神经节瘤,临床罕见。手术完整切除瘤体为主要的手术方式,因瘤体位置的特殊性,术中可能损伤颈内动脉及周围重要神经,术后可能并发脑缺血、偏瘫等严重并发症。本文报道1例双侧颈动脉体瘤,采取一期手术切除左侧肿瘤后2周行二期手术切除右侧肿瘤。术后3 d头晕及视物模糊明显改善,术后3个月症状完全消失。术后6个月复查头颅MRA未见肿瘤复发。这表明颈动脉体瘤,先处理风险较小的肿瘤再处理风险较大的肿瘤,可避免术后出现压力反射衰竭综合征等并发症,术中在显微镜下操作可减少对血管以及神经的损伤,若肿瘤对周围神经包饶或侵犯范围较小,术后症状改善极为明显。
Abstract：Carotid body tumors are a subgroup of neuroendocrine tumors, originating from paraganglia and also known as paragangliomas. They are rare in clinic. Complete resection of the tumor is the main surgical method. Due to the particular location of the tumor, the internal carotid artery and surrounding vital nerves may be injured during the operation, and serious complications such as cerebral ischemia and hemiplegia may occur postoperatively. This paper reports a case of bilateral carotid body tumors. The left tumor was resected in the first-stage surgery, and the right tumor was removed in the second-stage surgery two weeks later. Three days postoperatively, dizziness and blurred vision improved significantly, and the symptoms vanished completely three months postoperatively. Reexamination of head MRA six months after the surgery revealed no tumor recurrence. This indicates that for bilateral carotid body tumors, dealing with the tumor with a lower risk first and then the one with a higher risk can avoid complications such as postoperative baroreflex failure syndrome. Operating under a microscope during the surgery can reduce damage to blood vessels and nerves. If the tumor envelopes or invades the surrounding nerves to a small extent, the postoperative symptom improvement is extremely obvious.
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基本信息:
DOI：10.13798/j.issn.1009-153X.2025.01.013
中图分类号:R651.1
引用信息:
[1]丁锐,张少棋,李晋川等.双侧颈动脉体瘤1例[J].中国临床神经外科杂志,2025,30(01):57-59.DOI:10.13798/j.issn.1009-153X.2025.01.013.
基金信息: