Alexiou George A, Moschovi Maria, Stefanaki Kalliopi, Siozos George, Hatzigiorgi Christiana, Prodromou Neofytos
Department of Neurosurgery, First Department of Pediatrics, University of Athens, Athens, Greece.
Pediatr Neurosurg. 2011;47(2):143-6. doi: 10.1159/000330545. Epub 2011 Sep 2.
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.
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。