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一名5岁男孩患脑膜血管外皮细胞瘤并伴有难治性癫痫发作。

Meningioangiomatosis in a 5-year-old boy presenting with intractable seizures.

作者信息

Alexiou George A, Moschovi Maria, Stefanaki Kalliopi, Siozos George, Hatzigiorgi Christiana, Prodromou Neofytos

机构信息

Department of Neurosurgery, First Department of Pediatrics, University of Athens, Athens, Greece.

出版信息

Pediatr Neurosurg. 2011;47(2):143-6. doi: 10.1159/000330545. Epub 2011 Sep 2.

Abstract

A 5-year-old boy with a history of epilepsy underwent brain magnetic resonance imaging (MRI) because of an increase in seizure frequency. Brain MRI demonstrated a left frontal lesion. The patient was operated upon, and gross total excision was performed. The histological diagnosis was meningioangiomatosis. On follow-up examination 10 years later, the patient was free of seizures and without any evidence of tumor recurrence. Meningioangiomatosis is a rare benign hamartomatous lesion that is associated with seizures. Complete excision is associated with favorable long-term outcome. The novelty of the present case is the young age of the child at presentation and the curative role of surgery considering the long-term follow-up.

摘要

一名有癫痫病史的5岁男孩因癫痫发作频率增加接受了脑部磁共振成像(MRI)检查。脑部MRI显示左侧额叶有一个病变。该患者接受了手术,并进行了全切。组织学诊断为脑膜血管外皮细胞瘤。10年后的随访检查中,患者无癫痫发作,也没有任何肿瘤复发的迹象。脑膜血管外皮细胞瘤是一种罕见的良性错构瘤性病变,与癫痫发作有关。完全切除与良好的长期预后相关。本病例的新颖之处在于患儿就诊时年龄小,且考虑到长期随访,手术起到了治愈作用。

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