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一位 32 岁男性,患有脑干病变。

A 32-year-old male with brainstem lesions.

出版信息

Brain Pathol. 2013 Jan;23(1):101-4. doi: 10.1111/bpa.12009.

Abstract

Schwannosis is a condition characterized by a benign proliferation of Schwann cells and an incomplete myelination of central nervous system axons following different chronic stimuli. It. has been mainly observed in the spinal cord. Various hypotheses have been put forward with respect to the appearance of Schwann cells inside the central nervous system since they exclusively populate the peripheral nervous system. According to these hypotheses, schwannosis seems to be either the result of aberrant migration under certain conditions, especially in response to spinal cord injury, or as a developmental abnormality in form of ectopia during ontogenesis.We report, for the first time, on the multifocal occurrence of this rare nosological entity in the brain stem. Furthermore we compare the histological and immunohistochemical profile of schwannosis to that of an intracerebral schwannoma taken from our archive.

摘要

神经鞘瘤病是一种以良性施万细胞增生为特征的疾病,在不同的慢性刺激下,中枢神经系统轴突的不完全髓鞘形成。它主要发生在脊髓。由于施万细胞仅存在于周围神经系统,因此针对中枢神经系统内出现施万细胞的情况提出了各种假说。根据这些假说,神经鞘瘤病似乎是在某些条件下异常迁移的结果,特别是在脊髓损伤时,或者是在胚胎发生过程中以异位的形式出现的发育异常。我们首次报道了这种罕见疾病在脑干中的多灶性发生。此外,我们将神经鞘瘤病的组织学和免疫组织化学特征与我们档案中的脑内神经鞘瘤进行了比较。

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