García Carretero Rafael, Romero Brugera Marta, Vazquez-Gomez Oscar, Rebollo-Aparicio Noelia
Hospital Universitario de Mostoles, Mostoles, Spain.
Department of Emergency, Hospital Universitario de Mostoles, Mostoles, Spain.
BMJ Case Rep. 2016 Nov 17;2016:bcr2016218205. doi: 10.1136/bcr-2016-218205.
Chordoid gliomas are rare tumours. Despite being considered low-grade neoplasms, recent reviews have reported generally poor prognosis due to complications involving severe hypothalamic symptoms. We report a patient aged 30 years with chordoid glioma. What makes this case report interesting is the presence of neurogenic fever, which was already present before the final diagnosis of the brain tumour and also several months after the surgical removal. Since the patient underwent a subtotal resection of the tumour, it remains unclear whether the fever was due to hypothalamic dysfunction or remnants of the tumour. We also performed temperature logging with a continuous-monitoring recording device.
脊索样胶质瘤是罕见肿瘤。尽管被认为是低级别肿瘤，但最近的综述报告称，由于涉及严重下丘脑症状的并发症，总体预后通常较差。我们报告了一名30岁的脊索样胶质瘤患者。该病例报告的有趣之处在于存在神经源性发热，这在脑肿瘤最终诊断之前就已出现，并且在手术切除后的几个月也依然存在。由于患者接受了肿瘤次全切除，目前尚不清楚发热是由于下丘脑功能障碍还是肿瘤残留。我们还使用连续监测记录设备进行了体温记录。
