Grille P, Wilson E
Acta Neurol Latinoam. 1976;22(1-4):152-7.
A series of 30 spinal neurinomas and meningiomas studied in the Instituto de Neurología of Montevideo from 1958 to 1973 is analyzed. Seventeen neurinomas and 13 meningiomas are included. The following conclusions, in accordance with previous studies, were obtained from the clinical study and operative observations. Meningiomas were more commonly observed in females, in the sixth decade of life and were localized most frequently in the dorsal region. Neurinomas showed no preference for sex or site of the spine, and although they were more common in the sixth decade, they showed a greater dispersion in age. Clinical manifestations were similar in both groups but parasthesias were a more common initial symptom in meningiomas. Protein content of CSF was clearly greater in neurinomas. Radiological alterations of vertebrae were more frequently seen in neurinomas, but inespecific nature. Positive contrast mielography was in all cases useful for precise topographic diagnosis. Surgical results were satisfactory even in cases with severe preoperatory motor deficit.
对1958年至1973年在蒙得维的亚神经病学研究所研究的30例脊髓神经鞘瘤和脊膜瘤进行了分析。其中包括17例神经鞘瘤和13例脊膜瘤。根据先前的研究，从临床研究和手术观察中得出以下结论。脊膜瘤在女性中更常见，发病年龄多在60岁左右，最常发生于背部区域。神经鞘瘤在性别或脊柱部位上无明显偏好，虽然在60岁左右更为常见，但年龄分布更为分散。两组的临床表现相似，但感觉异常在脊膜瘤中是更常见的初始症状。神经鞘瘤患者脑脊液中的蛋白质含量明显更高。神经鞘瘤患者中椎体的放射学改变更常见，但性质不特异。阳性对比脊髓造影在所有病例中都有助于精确的定位诊断。即使在术前有严重运动功能缺损的病例中，手术结果也令人满意。
