Tumor in the chiasmo-sellar region of a patient with fibrotic dysplasia: practice of an otorhinolaryngologist (case report)
DOI: 10.32364/2587-6821-2023-7-8-10
M.M. Khapaeva1, R.T. Zhuboev2, I.A. Khakuasheva1
1Kh.M. Berbekov Kabardian-Balkar State University, Nalchik, Russian Federation
2Central Polyclinic LLC, Nalchik, Russian Federation
Cerebral tumors at their onset are asymptomatic or manifest in minor nonspecific signs. Nosebleed is considered one of the most common types of ENT emergency, a manifestation of brain tumors and postoperative complications. The article presents a case of a 35-year-old male patient who visited an otorhinolaryngologist with complaints of nosebleeds. Anamnesis showed that the patient had previously undergone transsphenoidal tumor resection due to the tumor in the chiasmo-sellar region detected by computed tomography (CT). Tumor nature at that moment could not be established due to intraoperative hemorrhage. CT angiography was performed to clarify the nature of hemorrhage, which revealed multiple brain arteriovenous malformations. CT also revealed a pattern of the patient: the diffuse bone lesion of the skull and facial skeleton, characteristic of fibrous dysplasia, which was first diagnosed at the age of 12. The article discusses further tactics of patient management with recurrent nosebleeds and breathing difficulties, taking into account a multidisciplinary approach.
Keywords: arteriovenous malformations, nasal septal perforation, tumor of the chiasmo-cellular region, ethmoidal air cells, fibrous dysplasia, biopsy.
For citation: Khapaeva M.M., Zhuboev R.T., Khakuasheva I.A. Tumor in the chiasmo-sellar region of a patient with fibrotic dysplasia: practice of an otorhinolaryngologist (case report). Russian Medical Inquiry. 2023;7(8). (in Russ.). DOI: 10.32364/2587-6821-2023-7-8-10.
About the authors:
Malika M. Khapaeva — 6th-year student of the Medical Faculty, Kh.M. Berbekov Kabardian-Balkar State University; 173, Chernyshevsky str., Nalchik, 360004, Russian Federation; ORCID iD 0009-0007-4173-7729.
Ruslan T. Zhuboev — otorhinolaryngologist, Highest Category Surgeon of Central Polyclinic LLC; 142, Tolstogo str., Nalchik, 360004, Russian Federation; ORCID iD 0009-0000-2001-7967.
Inara A. Hakuasheva — Assistant Professor of the Department of Faculty Therapy of the Medical Faculty, Kh.M. Berbekov Kabardian-Balkar State University; 173, Chernyshevsky str., Nalchik, 360004, Russian Federation; ORCID iD 0000-0003-2621-0068.
Contact information: Malika M. Khapaeva, e-mail: hapaeva_malika@mail.ru.
Financial Disclosure: no authors have a financial or property interest in any material or method mentioned.
There is no conflict of interests.
Received 10.03.2023.
Revised 04.04.2023.
Accepted 27.04.2023.
2. Морохоев В.И., Аксенов В.М. Носовые кровотечения в общеврачебной практике. Сеченовский вестник. 2013;4(4):58–65. [Morokhoev V.I., Aksenov V.M. Nasal bleeding in general medical practice. Sechenovskiy Vestnik. 2013;4(4):58–65 (in Russ.)].
3. Мазеркина Н.А. Опухоли хиазмально-селлярной области и III желудочка у детей: поздний диагноз. Педиатрия. Consilium Medicum. 2012;4:50–55. [Mazerkina N.A. Tumours of the chiasmal-sellar region and III ventricle in children: late diagnosis. Paediatrics. Consilium Medicum. 2012;4:50–55 (in Russ.)].
4. Блоцкий А.А., Карпищенко С.А. Неотложные состояния в оториноларингологии. СПб.: Диалог; 2016. [Blotsky A.A., Karpishchenko S.A. Urgent conditions in otorhinolaryngology. St. Petersburg: Dialogue; 2016 (in Russ.)].
5. Михайлов Н.И., Калинин П.Л., Савин И.А. Осложнения после эндоскопического эндоназального транссфеноидального удаления аденом гипофиза. Вопросы нейрохирургии имени Н.Н. Бурденко. 2018;82(6):105–113. DOI: 10.17116/neiro201882061105. [Mikhailov N.I., Kalinin P.L., Savin I.A. Complications after endoscopic endonasal transsphenoidal removal of pituitary adenomas. Voprosy Neirokhirurgii Imeni N.N. Burdenko. 2018;82(6):105–113 (in Russ., in Engl.)]. DOI: 10.17116/neiro201882061105.
6. Strauss G., Schaller S., Zaminer B., Heininger S. Clinical experiences with an automatic collision warning system: instrument navigation in endoscopic transnasal surgery. HNO. 2011;59(5):470–479 (in German). DOI: 10.1007/s00106-010-2237-0.
7. Кутин М.А., Фомичев Д.В., Шкарубо А.Н. и др. Эндоскопический транссфеноидальный доступ в диагностике и лечении гермином хиазмально-селлярной области. Опухоли головы и шеи. 2020;10(1):29–37. DOI: 10.17650/2222-1468-2020-10-1-29-37. [Kutin M.A., Fomichev D.V., Shkarubo A.N. et al. Endoscopic transsphenoidal approach in the diagnosis and treatment of chiasmosellar germinomas. Head and Neck Tumors. 2020;10(1):29–37 (in Russ.)]. DOI: 10.17650/2222-1468-2020-10-1-29-37.
8. Крюков А.И., Кунельская Н.Л., Царапкин Г.Ю. и др. Перфорация перегородки носа: современное состояние проблемы. Российская ринология. 2016;24(1):4‑9. DOI: 10.17116/rosrino20162414-9. [Krukov A.I., Kunel'skaya N.L., Tsarapkin G.Yu. et al. Nasal septal perforation: State-of-the-art. Russian Rhinology. 2016;24(1):4‑9 (in Russ.)]. DOI: 10.17116/rosrino20162414-9.
9. Элиава Ш.Ш., Филатов Ю.М., Пилипенко Ю.В. Микрохирургическое лечение артериовенозных мальформаций головного мозга в НИИ нейрохирургии им. Н.Н. Бурденко (опыт последних лет). Вопросы нейрохирургии имени Н.Н. Бурденко. 2012;76(3):34–44. [Éliava Sh.Sh., Filatov Iu.M., Pilipenko Iu.V. et al. Microsurgical treatment of cerebral arteriovenous malformations in Burdenko Neurosurgical Institute (recent experience). Voprosy Neirokhirurgii Imeni N.N. Burdenko. 2012;76(3):34‑44 (in Russ.)].
10. Блоцкий А.А., Карпищенко С.А. Поражение ЛОР-органов при специфических заболеваниях: методическое пособие. СПб.: Диалог; 2012. [Blotsky A.A., Karpishchenko S.A. ENT organ lesions in specific diseases: a manual. St. Petersburg: Dialogue; 2012 (in Russ.)].
11. Рожинская Л.Я., Сардаева Д.Г., Калинченко Н.Ю. и др. Синдром Маккьюна–Олбрайта–Брайтцева: описание трех клинических случаев, особенности диагностики и тактики лечения. Остеопороз и остеопатии. 2021;24(3):19–32. DOI: 10.14341/osteo12932. [Rozhinskaya L.Ya., Sardaeva D.G., Kalinchenko N.Y. et al. McCune-Albright syndrome: description of three clinical cases, features of diagnostics and treatment. Osteoporosis and bone diseases. 2021;24(3):19–32 (in Russ.)]. DOI: 10.14341/osteo12932.
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