Document Detail

Suboccipital meningocele presenting as a huge retropharyngeal mass in a patient with neurofibromatosis Type 1. Case report.
MedLine Citation:
PMID:  10470829     Owner:  NLM     Status:  MEDLINE    
The authors report an extremely rare case of neurofibromatosis Type 1 (NF1) with a suboccipital meningocele presenting as a huge retropharyngeal mass. A 73-year-old woman with typical cutaneous manifestations of NF1 presented with nasal obstruction and dysphagia due to a retropharyngeal mass. Magnetic resonance imaging revealed a huge mass lesion extending from the right occipital bone defect to the retropharynx through the right paravertebral region. Computerized tomography scanning after intrathecal administration of contrast material confirmed that the mass was a meningocele protruding through a right occipital bone defect. The authors attempted to ligate this meningocele, most of which was excised via a suboccipital approach, but a second transcervical operation was required. Finally, the meningocele resolved and the patient was discharged without symptoms.
M Kurimoto; Y Hirashima; N Hayashi; S Endo; M Ohi; S Okamoto; A Takaku
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of neurosurgery     Volume:  91     ISSN:  0022-3085     ISO Abbreviation:  J. Neurosurg.     Publication Date:  1999 Sep 
Date Detail:
Created Date:  1999-09-10     Completed Date:  1999-09-10     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0253357     Medline TA:  J Neurosurg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  503-5     Citation Subset:  AIM; IM    
Department of Neurosurgery, Toyama Medical and Pharmaceutical University, Japan.
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MeSH Terms
Deglutition Disorders / diagnosis
Diagnosis, Differential
Magnetic Resonance Imaging
Meningocele / diagnosis*,  surgery
Nasal Obstruction / diagnosis
Neurofibromatosis 1 / complications*
Occipital Bone
Pharyngeal Diseases / diagnosis*
Tomography, X-Ray Computed

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