Uno M, Kannuki S, Hondo H, Ueda S, Matsumoto K, Hizawa K
Department of Neurological Surgery, School of Medicine, University of Tokushima.
No Shinkei Geka. 1990 Nov;18(11):1053-8.
A case of ganglioglioma associated with choked disc is reported. A 19-year-old girl was admitted to our hospital because of blurred vision. Neurologically, the patient had nothing but choked disc. The CT showed a large cystic mass with calcification in the left parieto-occipital lobe. The MRI revealed that the cyst was delineated by a membrane and that its dorsal side was solid, showing enhancement by Gd-DTPA. Cerebral angiography showed no tumor stain. Left parieto-temporo-occipital craniotomy was performed and the tumor was removed subtotally. Histopathological examination demonstrated the typical pattern of ganglioglioma. The most common symptom of ganglioglioma is convulsions. Symptoms of increased intracranial pressure have been reported sporadically in the literature. It was clinically noted that the cause of the increased intracranial pressure in this patient was enlargement of the cyst associated with ganglioglioma.
报告1例伴有视乳头水肿的神经节细胞胶质瘤。一名19岁女孩因视力模糊入院。神经系统检查显示,该患者仅存在视乳头水肿。CT显示左顶枕叶有一个伴有钙化的大囊性肿块。MRI显示囊肿由一层膜包绕,其背侧为实性,注射钆喷酸葡胺后有强化。脑血管造影未显示肿瘤染色。行左顶颞枕开颅术,肿瘤大部分切除。组织病理学检查显示为典型的神经节细胞胶质瘤形态。神经节细胞胶质瘤最常见的症状是惊厥。文献中曾零星报道过颅内压升高的症状。临床观察发现,该患者颅内压升高的原因是与神经节细胞胶质瘤相关的囊肿增大。