Doukas Alexandros, Tallo Annamarie, Parvin Richard, Hans Volkmar, Daemi Pooya, Cheko Azad, Scholz Martin, Petridis Athanasios K
Department of Neurosurgery, University Hospital , Kiel.
Department of Neurosurgery, Wedau Kliniken , Duisburg.
Clin Pract. 2015 Dec 29;5(4):777. doi: 10.4081/cp.2015.777. eCollection 2015 Nov 5.
Chondromas usually affect the small bones of hand and feet and account for only 0.5% of all intracranial tumors. We present a case of a giant, supratentorial meningeal chondroma in a 19-year old male patient and discuss the preoperative diagnostic findings as well as the appropriate treatment options. A 19-old male presented with headache, new onset of focal seizures and paresis of left upper extremity. Magnetic resonance imaging revealed a large right parietal tumor in the precentral region with local mass effect. The patient underwent right parietal craniotomy and gross total resection of the tumor. The histopathological report revealed a chondroma. Intradural supratentorial chondromas are extremely rare. As with other slow growing intracranial masses, they often reach a relatively large size before generating symptoms. Maximal surgical resection is the treatment of choice and if this is achieved no adjuvant therapy is necessary.
软骨瘤通常累及手足小骨，仅占所有颅内肿瘤的0.5%。我们报告一例19岁男性患者的巨大幕上脑膜软骨瘤病例，并讨论术前诊断结果及合适的治疗方案。一名19岁男性患者出现头痛、新发局灶性癫痫发作及左上肢无力。磁共振成像显示中央前区右侧顶叶有一个大肿瘤，伴有局部占位效应。患者接受了右侧顶叶开颅手术及肿瘤全切术。组织病理学报告显示为软骨瘤。硬脑膜内幕上软骨瘤极为罕见。与其他生长缓慢的颅内肿块一样，它们在产生症状之前往往会长得相对较大。手术全切是首选治疗方法，如果能够实现全切，则无需辅助治疗。
