Ogasawara H, Kiya K, Uozumi T, Sugiyama K, Kawamoto K, Ohta M
Department of Neurosurgery, Hiroshima University School of Medicine.
Neurol Med Chir (Tokyo). 1990 Feb;30(2):127-31. doi: 10.2176/nmc.30.127.
A 32-year-old male was hospitalized with headache and disturbance of consciousness. Computed tomography (CT) revealed a tumor and an intracranial hematoma in the right frontal lobe. The tumor was totally removed, and postoperative radiation therapy was administrated locally at 50 Gy. Five years later, he experienced sudden onset of headache and vertigo. CT demonstrated a mass lesion with a hematoma in the cerebellar vermis. The tumor was subtotally removed and he underwent postoperative local irradiation at 50 Gy as well as ventriculoperitoneal shunting. Four years later, he complained of visual and gait disturbances, and CT disclosed a tumor in the suprasellar region. Following partial removal of the tumor, local brain irradiation was given at 40 Gy. Histological examination proved all three tumors to be oligodendrogliomas with no evidence of malignant change.
一名32岁男性因头痛和意识障碍入院。计算机断层扫描(CT)显示右额叶有一个肿瘤和颅内血肿。肿瘤被完全切除,术后局部给予50 Gy的放射治疗。五年后,他突然出现头痛和眩晕。CT显示小脑蚓部有一个伴有血肿的肿块病变。肿瘤被次全切除,术后他接受了50 Gy的局部照射以及脑室腹腔分流术。四年后,他诉说有视觉和步态障碍,CT显示鞍上区有一个肿瘤。肿瘤部分切除后,给予局部脑部40 Gy的照射。组织学检查证实这三个肿瘤均为少突胶质细胞瘤,无恶变证据。