Nishio S, Morioka T, Suzuki S, Mihara F, Fukui M
Department of Neurosurgery, Graduate School of Medicine, Kyushu University, Fukuoka, Japan.
No To Shinkei. 2000 Mar;52(3):237-41.
We presented the clinicopathological features of 8 cases of intraventricular neurocytoma, which was a rare, benign tumor of neuronal origin and affected young patients. In each case the intraventricular tumor existed near the foramen of Monro and/or body of the lateral ventricle, and was associated with ventricular dilatation. A CT scan demonstrated a well-circumscribed iso- or hyperdense mass with some calcification, intratumoral cysts of various sizes and a heterogeneous enhancement. MRI, which was performed in 4 cases, confirmed a mass of isointense or slightly hyperintense on T 1-weighted images, and with multiple sites of attachment (mainly to the septum pellucidum and the head of the caudate nucleus). While these neuroimaging features are helpful in eliminating alternative diagnosis such as ependymomas, choroid plexus papillomas, subependymal giant cell astrocytomas and meningiomas, age of the patient and the tumor location within the lateral ventricle are important features for differential diagnosis.
我们报告了8例脑室内神经细胞瘤的临床病理特征,这是一种罕见的起源于神经元的良性肿瘤,好发于年轻患者。每例患者的脑室内肿瘤均位于孟氏孔和/或侧脑室体部附近,并伴有脑室扩张。CT扫描显示边界清晰的等密度或高密度肿块,伴有一些钙化、大小不一的瘤内囊肿以及不均匀强化。4例行MRI检查,结果证实肿块在T1加权像上呈等信号或稍高信号,且有多个附着部位(主要附着于透明隔和尾状核头部)。虽然这些神经影像学特征有助于排除室管膜瘤、脉络丛乳头状瘤、室管膜下巨细胞星形细胞瘤和脑膜瘤等其他诊断,但患者年龄和肿瘤在侧脑室内的位置是鉴别诊断的重要特征。