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内镜下第三脑室造瘘术成功治疗一名因顶盖胶质瘤导致梗阻性脑积水的青少年震颤:病例报告

Successful treatment of tremor by endoscopic third ventriculostomy in an adolescent with obstructive hydrocephalus due to tectal glioma: case report.

作者信息

Yang Shih-Hung, Kulkarni Abhaya V

机构信息

Division of Neurosurgery, National Taiwan University Hospital, Taipei, Taiwan.

出版信息

Childs Nerv Syst. 2011 Jun;27(6):1007-10. doi: 10.1007/s00381-011-1404-2. Epub 2011 Mar 3.

DOI:10.1007/s00381-011-1404-2
PMID:21369786
Abstract

Hydrocephalus presenting with movement disorder is very rare, especially in children. We present the case of a 16-year-old boy who presented with bilateral intention tremor and slowed speech as a result of obstructive hydrocephalus secondary to a tectal glioma. Treatment with endoscopic third ventriculostomy improved his symptoms. We review the literature regarding this unusual presentation of an otherwise common condition.

摘要

以运动障碍为表现的脑积水非常罕见,尤其是在儿童中。我们报告了一例16岁男孩的病例,该男孩因顶盖胶质瘤继发梗阻性脑积水而出现双侧意向性震颤和言语迟缓。内镜下第三脑室造瘘术治疗改善了他的症状。我们回顾了关于这种常见疾病不寻常表现的文献。

相似文献

1
Successful treatment of tremor by endoscopic third ventriculostomy in an adolescent with obstructive hydrocephalus due to tectal glioma: case report.内镜下第三脑室造瘘术成功治疗一名因顶盖胶质瘤导致梗阻性脑积水的青少年震颤:病例报告
Childs Nerv Syst. 2011 Jun;27(6):1007-10. doi: 10.1007/s00381-011-1404-2. Epub 2011 Mar 3.
2
Endoscopic third ventriculostomy for hydrocephalus due to tectal glioma.内镜下第三脑室造瘘术治疗顶盖胶质瘤所致脑积水
Can J Neurol Sci. 2014 Jul;41(4):476-81. doi: 10.1017/s0317167100018515.
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Long-term control of hydrocephalus via endoscopic third ventriculostomy in children with tectal plate gliomas.通过内镜下第三脑室造瘘术对顶盖胶质瘤患儿脑积水的长期控制。
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Two-stage treatment of a tectal ganglioglioma: endoscopic third ventriculostomy followed by surgical resection.顶盖神经节胶质瘤的两阶段治疗:内镜下第三脑室造瘘术 followed by 手术切除。 注:原文中“followed by”直译为“接着是”,这里意译为“随后进行”更符合语境,但按照要求未添加其他解释说明,所以保留了“followed by”。
J Clin Neurosci. 2006 Nov;13(9):963-5. doi: 10.1016/j.jocn.2005.09.011. Epub 2006 Aug 17.
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Combined rigid and flexible endoscopy for tumors in the posterior third ventricle.联合硬质和软性内镜治疗第三脑室后部肿瘤
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Endoscopic third ventriculostomy for tumor-related hydrocephalus in a pediatric population.小儿肿瘤相关性脑积水的内镜下第三脑室造瘘术
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The role of neuroendoscopy in the management of tectal gliomas.神经内镜在顶盖胶质瘤治疗中的作用。
Childs Nerv Syst. 2004 Nov;20(11-12):852-7. doi: 10.1007/s00381-004-0942-2. Epub 2004 Jul 9.
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Pediatric tectal glioma presented with acute hydrocephalus and ventriculomegaly. Two case reports.小儿顶盖胶质瘤表现为急性脑积水和脑室扩大。两例报告。
Arch Argent Pediatr. 2024 Oct 1;122(5):e202310244. doi: 10.5546/aap.2023-10244.eng. Epub 2024 Feb 15.

本文引用的文献

1
Case of Syringomyelia with Hydrocephalus and Coarse Tremor (Fibrillation) of the Right Hand.伴有脑积水及右手粗大震颤(肌纤维震颤)的脊髓空洞症病例
Proc R Soc Med. 1927 Jun;20(8):1241-2. doi: 10.1177/003591572702000813.
2
Heritable essential tremor-idiopathic normal pressure hydrocephalus (ETINPH).遗传性特发性震颤-特发性正常压力脑积水(ETINPH)。
Am J Med Genet A. 2008 Feb 15;146A(4):433-9. doi: 10.1002/ajmg.a.31958.
3
Hydrocephalus induced chorea.脑积水诱发的舞蹈症。
J Neurol Neurosurg Psychiatry. 2007 Nov;78(11):1284-5. doi: 10.1136/jnnp.2006.112128.
4
Endoscopic aqueductoplasty in the treatment of aqueductal stenosis.内镜下导水管成形术治疗导水管狭窄
Childs Nerv Syst. 2007 Nov;23(11):1263-8. doi: 10.1007/s00381-007-0393-7. Epub 2007 Aug 4.
5
Teaching NeuroImage: tremor in aqueductal stenosis and response to endoscopic third ventriculostomy.教学神经影像学:导水管狭窄中的震颤及对内镜下第三脑室造瘘术的反应
Neurology. 2007 May 8;68(19):E29-31. doi: 10.1212/01.wnl.0000260971.91440.48.
6
Unilateral Holmes tremor, clearly responsive to cerebrospinal fluid release, in a patient with an ischemic midbrain lesion and associated chronic hydrocephalic ventricle enlargement. Case report.
J Neurosurg. 2006 Mar;104(3):448-51. doi: 10.3171/jns.2006.104.3.448.
7
Parkinsonism and midbrain dysfunction after shunt placement for obstructive hydrocephalus.梗阻性脑积水分流术后的帕金森综合征和中脑功能障碍。
J Clin Neurosci. 2006 Apr;13(3):373-8. doi: 10.1016/j.jocn.2005.04.023. Epub 2006 Mar 20.
8
Mechanisms of failure after endoscopic third ventriculostomy in young infants.幼儿内镜下第三脑室造瘘术后的失败机制
J Neurosurg. 2005 Jul;103(1 Suppl):43-9. doi: 10.3171/ped.2005.103.1.0043.
9
Bobble-head doll syndrome: some atypical features with a new lesion and review of the literature.
Acta Neurol Scand. 2003 Sep;108(3):216-20. doi: 10.1034/j.1600-0404.2003.00101.x.
10
Clinical features of late-onset idiopathic aqueductal stenosis.迟发性特发性导水管狭窄的临床特征。
Surg Neurol. 2001 Mar;55(3):132-6; discussion 136-7. doi: 10.1016/s0090-3019(01)00359-7.