Kruminja G A
Zentrum für Neurochirurgie der Lettischen SSR, Riga.
Zentralbl Neurochir. 1989;50(1):48-54.
The therapy effect as well as the growing of the recidivity of gliomas is followed up by CT routine examinations because in this way the patient is not subjected to an unnecessary strain. The author establishes a CT syndrome of the growth activation of gliomas: Occurrence of a periofocal reaction around the focus, appearance of solid nodous structures in the tumour with enhancement, extension of the local cerebral oedema, development of a diffuse cerebral oedema with reaction of the ventricular system. The syndrome can already be proved 4 to 6 months (in case of the glioma grading being I and II) or 2-3 months (in case of gradings III and IV) before the clinical manifestation. Thus it permits to make objective statements with respect to the "life quality" and its proceeding in time.
通过CT常规检查对胶质瘤的治疗效果以及复发情况进行随访，因为这样患者不会承受不必要的负担。作者确立了胶质瘤生长激活的CT综合征：病灶周围出现局灶性反应、肿瘤内出现强化的实性结节状结构、局部脑水肿扩展、伴有脑室系统反应的弥漫性脑水肿形成。该综合征在临床表现出现前4至6个月（胶质瘤分级为I级和II级时）或2至3个月（分级为III级和IV级时）即可得到证实。因此，它有助于对“生活质量”及其随时间的变化做出客观的判断。
