[髓内-髓外室管膜瘤的外科治疗。两例临床病例及文献综述]
[Surgical treatment of intramedullary-extramedullary ependymomas. Two clinical cases and a literature review].
作者信息
Evzikov G Yu, Konovalov N A, Bashlachev M G, Asyutin D S, Onoprienko R A, Korolishin V A, Timonin S Yu, Panina T N, Belozerskikh K A
机构信息
Sechenov First Moscow State Medical University, Clinic of Nervous Diseases, Rossolimo Str., 11, Moscow, Russia, 119021.
Burdenko Neurosurgical Institute, 4-ya Tverskaya-Yamskaya Str., 16, Moscow, Russia, 125047.
出版信息
Zh Vopr Neirokhir Im N N Burdenko. 2018;82(3):48-55. doi: 10.17116/neiro201882348.
UNLABELLED
Ependymoma is a central nervous system tumor that grows from ependymal cells lining the cerebral ventricles, central canal of the spinal cord, and filum terminale. Regardless of the histological type of ependymomas, they rarely have exophytic growth. Because of an extremely low occurrence rate of this phenomenon, we present two clinical cases of patients with classical intramedullary ependymomas (Grade II) having an extramedullary component.
MATERIAL AND METHODS
The paper presents two clinical cases of patients with intramedullary-extramedullary ependymomas of the spinal cord. The surgical technique is described. After surgical treatment, the performance status of patients remained unchanged.
CONCLUSION
Radical removal of complex ependymomas provides conditions for long-term disease-free survival and further neurological recovery.
未标注
室管膜瘤是一种中枢神经系统肿瘤，起源于脑室、脊髓中央管和终丝内衬的室管膜细胞。无论室管膜瘤的组织学类型如何，它们很少有外生性生长。由于这种现象的发生率极低，我们报告了两例患有经典髓内室管膜瘤（二级）并伴有髓外成分的患者的临床病例。
材料与方法
本文介绍了两例脊髓髓内-髓外室管膜瘤患者的临床病例。描述了手术技术。手术治疗后，患者的功能状态保持不变。
结论
彻底切除复杂的室管膜瘤为长期无病生存和进一步的神经功能恢复提供了条件。
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