Tamaki Tomonori, Eguchi Tsuneyoshi, Sakamoto Masaki, Teramoto Akira
Department of Neurosurgery, Kameda General Hospital, Kamogawa, Chiba, Japan.
J Chin Med Assoc. 2004 Jun;67(6):301-4.
A 74-year-old man was diagnosed with cerebellar glioblastoma multiforme (GBM). He initially presented with headache, nausea, vomiting, and truncal ataxia. Computed tomography (CT) and magnetic resonance imaging (MRI) revealed a round mass with ring enhancement in the vermis of the cerebellum. Subtotal removal of tumour was performed, and the pathological diagnosis was cerebellar glioblastoma multiforme. Subsequently, radiochemotherapy was performed. GBM of the cerebellum is rare and only accounts for a small fraction of all GBM. To our knowledge, there have only been 7 cases of senile cerebellar GBM reported. Our patient is one of the oldest cases recorded in the Asian literature.
一名74岁男性被诊断为小脑多形性胶质母细胞瘤(GBM)。他最初表现为头痛、恶心、呕吐和躯干性共济失调。计算机断层扫描(CT)和磁共振成像(MRI)显示小脑蚓部有一个环形强化的圆形肿块。进行了肿瘤次全切除,病理诊断为小脑多形性胶质母细胞瘤。随后进行了放化疗。小脑GBM很罕见,仅占所有GBM的一小部分。据我们所知,仅报道过7例老年小脑GBM病例。我们的患者是亚洲文献中记录的年龄最大的病例之一。