Kawahara Ichiro, Fujimoto Takashi, Hirose Makoto, Toba Tamotsu
Department of Neurosurgery, Nagasaki Rosai Hospital.
No Shinkei Geka. 2015 Dec;43(12):1105-11. doi: 10.11477/mf.1436203188.
Subependymomas (SEs) are rare, benign, noninvasive, slow-growing tumors located anywhere along the ventricular walls. They arise most frequently in the fourth ventricle followed by the lateral ventricle, and less frequently in the septum pellucidum, third ventricle, and spinal cord. Most SEs are found incidentally at autopsy, but some may produce clinical symptoms. Tumor-related hemorrhage represents an extremely rare presentation sign. We describe a rare case of septum pellucidum SE as tumoral hemorrhage. The tumor was totally removed via an interhemispheric transcallosal approach. Histological examination found typical SE. Although the patient had transient memory impairment, he had a good postoperative course and was discharged on the twenty-first postoperative day.
室管膜下瘤(SEs)是一种罕见的、良性的、非侵袭性的、生长缓慢的肿瘤,可位于脑室壁的任何部位。它们最常发生于第四脑室,其次是侧脑室,较少发生于透明隔、第三脑室和脊髓。大多数室管膜下瘤是在尸检时偶然发现的,但有些可能会产生临床症状。肿瘤相关出血是一种极其罕见的表现体征。我们描述了一例罕见的透明隔室管膜下瘤表现为肿瘤出血的病例。该肿瘤通过经胼胝体间脑半球入路被完全切除。组织学检查发现为典型的室管膜下瘤。尽管患者有短暂的记忆障碍,但术后恢复良好,术后第21天出院。