Nasopharyngeal Teratoma in a Neonate

M. Aramesh, Sahar Majidinezjad, Huda Ilkhanipak, M. Peyvasteh
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Abstract

Teratomas are rare neoplasms in the nasopharyngeal area. They are composed of all germ cell layers and tend to be benign in all sites. Teratomas can cause dysphagia and respiratory problems. Diagnosing them antenatally helps to be prepared for possible complications that may occur after birth. Rised maternal AFP levels and polyhydramnios are seen and prompt further evaluations. In this case we present a Nasopharyngeal teratoma in a baby girl which occluded the airway and leaded to intubation. She developed seizures during her admission and since the mass was near to the CNS, MRI and neurological evaluations were preformed prior to the surgery. The mass was removed surgically after controlling the seizures with anticonvulsive therapy and ruling out any possible connections between the mass and the CNS. She was extubated two days after the surgery and was discharged after being successfully orally fed. J Neurol Res. 2020;10(2):48-51 doi: https://doi.org/10.14740/jnr578
新生儿鼻咽畸胎瘤1例
畸胎瘤是发生在鼻咽区的罕见肿瘤。它们由所有生殖细胞层组成,在所有部位都是良性的。畸胎瘤会导致吞咽困难和呼吸问题。产前诊断有助于为出生后可能发生的并发症做好准备。观察到母体AFP水平升高和羊水过多,并提示进一步评估。在这个病例中,我们报告了一个女婴的鼻咽畸胎瘤,该畸胎瘤阻塞了气道并导致插管。她在入院期间出现癫痫发作,由于肿块靠近中枢神经系统,在手术前进行了MRI和神经学评估。在抗惊厥治疗控制癫痫发作并排除肿块与中枢神经系统之间的任何可能联系后,手术切除了肿块。术后2天拔管,成功口服喂养后出院。J Neurol Res. 2020;10(2):48-51 doi: https://doi.org/10.14740/jnr578
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