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一例因正常压力脑积水出现帕金森氏症前驱症状的侧脑室肿瘤(室管膜下丛状星形细胞瘤)(作者译)

[A case of the lateral ventricular tumor (subependymal glomerate astrocytoma) with preceding Parkinsonian symptoms due to normal pressure hydrocephalus (author's transl)].

作者信息

Wakai S, Aoki N, Kubota M, Mizutani H

出版信息

No Shinkei Geka. 1976 Dec;4(12):1199-203.

PMID:1034239
Abstract

Authors report a patient with a subependymal glomerate astrocytoma in the right lateral ventricle. He maifested parkinsonian symptoms and dementia related to the preceding normal pressure hydrocephalus which was proved by an infusion test, and then advanced an akinetic mutism. Soon after a shunting operation was carried out he showed a full recovery from the symptoms, which may suggest that an incomplete block of the ventricular system is one cause of the normal pressure hydrocephalus. From pathology it was revealed that the tumor is an intraventricular astrocytoma with a fibrous stalk and was totally removed with an ease. The findings seem to accord with "Subependymal glomerate astrocytoma" (Boykin.) Further corroboration would be necessary to establish this entity.

摘要

作者报告了一名右侧脑室室管膜下丛状星形细胞瘤患者。他表现出帕金森氏症症状以及与先前正常压力脑积水相关的痴呆,这通过灌注试验得到证实,随后发展为运动不能性缄默症。在进行分流手术后不久,他的症状完全恢复,这可能表明脑室系统的不完全阻塞是正常压力脑积水的一个原因。病理检查显示该肿瘤是一种带有纤维蒂的脑室内星形细胞瘤,并且很容易被完全切除。这些发现似乎符合“室管膜下丛状星形细胞瘤”(博伊金)。需要进一步的确证来确立这一实体。

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