Menon Ram Kumar, Goel Atul, Shah Abhidha, Goel Naina, Rajashekharan Preetha
Department of Neurosurgery, Seth G.S. Medical College and King Edward Memorial Hospital, Mumbai 400012, India.
J Neurooncol. 2008 Jun;88(2):157-60. doi: 10.1007/s11060-008-9555-z.
An extremely rare case of primary intracranial myxoma mimicking an intraaxial parenchymal tumour is reported. A 25 year old male presented with complaints of headache and right sided hemiparesis. A gross total resection of the tumour was achieved. Histology confirmed that the tumour was a myxoma. Investigations did not reveal any underlying cardiac focus. Following surgery, the patient had rapid recovery from his symptoms and on a follow up at 3 months was asymptomatic. Primary intracranial myxomas are extremely rare and this is the fifth reported case in neurosurgical literature and third report of supratentorial myxoma. Though metastatic myxomas from atrial myxomas are known to occur primary intracranial myxomas are extremely rare. Surgical resection provides an excellent prognosis and the surgical aim should be to achieve total resection.
报道了一例极其罕见的原发性颅内黏液瘤，其表现类似轴内实质肿瘤。一名25岁男性因头痛和右侧偏瘫就诊。肿瘤实现了全切。组织学检查证实肿瘤为黏液瘤。检查未发现任何潜在的心脏病灶。术后，患者症状迅速缓解，3个月随访时无症状。原发性颅内黏液瘤极其罕见，这是神经外科文献报道的第五例，也是幕上黏液瘤的第三例报道。虽然已知心房黏液瘤可发生转移性黏液瘤，但原发性颅内黏液瘤极其罕见。手术切除预后良好，手术目标应是实现全切。
