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老年患者的赫米特-杜克洛病:一例病例报告及文献综述

L'hermitte-Duclos disease in an elderly patient: A case report and review of the literature.

作者信息

Ozeren Ersin, Gurses Levent, Sorar Mehmet, Er Uygur, Önder Evrim, Arıkök Ata Türker

机构信息

Department of Neurosurgery, Diskapi Training and Research Hospital, Duzce, Turkey.

Department of Neurosurgery, Medical School, Duzce University, Duzce, Turkey.

出版信息

Asian J Neurosurg. 2014 Oct-Dec;9(4):246. doi: 10.4103/1793-5482.146666.

DOI:10.4103/1793-5482.146666
PMID:25685239
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4323986/
Abstract

L'hermitte-Duclos disease (LDD) is an extremely rare cerebellar lesion of uncertain etiology. Occasionally, the patients with LDD may even have sudden neurological deterioration due to acute heniation as seen in the present case report. It is also imperative to distinguish this disease from other malignant lesion of the cerebellum and cerebellar malformations with its varied natural course of history and hence better ability to prognosticate such patients. Herein, we reported a successfully treated case of LDD following a long history of vaguely defined neurological complaints in an elderly patient and reviewed the literature.

摘要

赫米特-迪克洛病(LDD)是一种病因不明的极为罕见的小脑病变。偶尔,LDD患者甚至可能因急性疝出而出现突然的神经功能恶化,如本病例报告所示。鉴于其多样的自然病程以及因此对这类患者更好的预后判断能力,将这种疾病与其他小脑恶性病变和小脑畸形区分开来也至关重要。在此,我们报告了一例老年患者在长期存在不明神经症状后成功治疗的LDD病例,并对相关文献进行了综述。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dc1/4323986/514551df8aa6/AJNS-9-246-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dc1/4323986/bfc9753e13a9/AJNS-9-246-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dc1/4323986/dcefd5fb4fcd/AJNS-9-246-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dc1/4323986/514551df8aa6/AJNS-9-246-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dc1/4323986/bfc9753e13a9/AJNS-9-246-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dc1/4323986/dcefd5fb4fcd/AJNS-9-246-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4dc1/4323986/514551df8aa6/AJNS-9-246-g003.jpg

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Brain Spine. 2025 Apr 25;5:104258. doi: 10.1016/j.bas.2025.104258. eCollection 2025.

本文引用的文献

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J Clin Neurosci. 2014 Nov;21(11):1999-2002. doi: 10.1016/j.jocn.2014.05.005. Epub 2014 Jun 15.
2
Magnetic resonance characteristics of adult-onset Lhermitte-Duclos disease: An indicator for active cancer surveillance?成人起病的Lhermitte-Duclos病的磁共振特征:癌症主动监测的指标?
Mol Clin Oncol. 2014 May;2(3):415-420. doi: 10.3892/mco.2014.258. Epub 2014 Feb 12.
3
Cowden syndrome: mucocutaneous lesions as precursors of internal malignancy.
考登综合征:皮肤黏膜病变作为内脏恶性肿瘤的先兆
Oral Maxillofac Surg. 2014 Jun;18(2):229-35. doi: 10.1007/s10006-014-0445-6. Epub 2014 Apr 1.
4
MR imaging and spectroscopy in Lhermitte-Duclos disease.Lhermitte-Duclos病的磁共振成像与波谱分析
Neuroradiology. 2004 May;46(5):355-8. doi: 10.1007/s00234-004-1201-7. Epub 2004 Apr 21.
5
Diffusion-weighted MRI in Lhermitte-Duclos disease: report of two cases.弥漫加权磁共振成像在Lhermitte-Duclos病中的应用:两例报告。
Neuroradiology. 2004 May;46(5):351-4. doi: 10.1007/s00234-004-1190-6. Epub 2004 Apr 16.
6
Lhermitte-Duclos disease: a tumour or not a tumour.勒米特-迪克洛病:是肿瘤还是非肿瘤。
Acta Neurol Scand. 2003 Oct;108(4):294-5. doi: 10.1034/j.1600-0404.2003.00156.x.
7
Contrast enhancement in Lhermitte-Duclos disease of the cerebellum: correlation of imaging with neuropathology in two cases.小脑Lhermitte-Duclos病的对比增强:两例影像学与神经病理学的相关性
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8
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Australas Radiol. 2001 Aug;45(3):343-6. doi: 10.1046/j.1440-1673.2001.00933.x.
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