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一名22岁女性的枕骨大孔脊索样脑膜瘤

Foramen Magnum Chordoid Meningioma in a 22-Year-old Female.

作者信息

Kumar Abhishek, Bhaskar S, Bhardwaj Minakshi, Gupta L N

机构信息

Department of Neurosurgery, PGIMER, Ram Manohar Lohia Hospital, New Delhi, India.

Department of Pathology, PGIMER, Ram Manohar Lohia Hospital, New Delhi, India.

出版信息

Asian J Neurosurg. 2018 Jul-Sep;13(3):834-837. doi: 10.4103/ajns.AJNS_296_16.

DOI:10.4103/ajns.AJNS_296_16
PMID:30283559
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6159022/
Abstract

Chordoid meningioma is a rare variety of meningioma (0.5%-1%) with high rate of recurrence. They are grouped in WHO Grade II tumors. They are mainly distributed in the supratentorial location. There has been a single report of foramen magnum chordoid meningioma in a 3-year, 6-month-old child. Our patient, a 22-year-old female, admitted with progressive spastic quadriparesis with bowel and bladder involvement. She was operated with tumor resection done; postoperatively, patient showed dramatic improvement in the motor power as well as bowel and bladder function. Histopathology was suggestive of chordoid meningioma. She received 54 Gy of radiotherapy. She is doing well with no neurological deficits and no recurrence at 2-year follow-up.

摘要

脊索样脑膜瘤是一种罕见的脑膜瘤类型(占0.5%-1%),复发率高。它们被归类为世界卫生组织二级肿瘤。主要分布于幕上部位。曾有一份关于一名3岁6个月大儿童枕骨大孔脊索样脑膜瘤的报告。我们的患者是一名22岁女性,因进行性痉挛性四肢瘫伴肠道和膀胱受累入院。她接受了肿瘤切除术;术后,患者的运动能力以及肠道和膀胱功能有显著改善。组织病理学提示为脊索样脑膜瘤。她接受了54 Gy的放射治疗。在2年的随访中,她情况良好,没有神经功能缺损,也没有复发。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51db/6159022/516926a1633c/AJNS-13-834-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51db/6159022/ce21a7d8c02d/AJNS-13-834-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51db/6159022/516926a1633c/AJNS-13-834-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51db/6159022/ce21a7d8c02d/AJNS-13-834-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/51db/6159022/516926a1633c/AJNS-13-834-g002.jpg

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本文引用的文献

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Clinical Features, Treatment, and Prognostic Factors of Chordoid Meningioma: Radiological and Pathological Features in 60 Cases of Chordoid Meningioma.脊索样脑膜瘤的临床特征、治疗及预后因素:60例脊索样脑膜瘤的影像学和病理学特征
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单纯枕骨大孔后脉络丛脑膜瘤:一例病例报告并文献复习
Ann Med Surg (Lond). 2021 Apr 21;65:102325. doi: 10.1016/j.amsu.2021.102325. eCollection 2021 May.
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Chordoid meningioma of the foramen magnum in a child: a case report and review of the literature.儿童枕骨大孔区脊索样脑膜瘤:1例报告并文献复习
Childs Nerv Syst. 2008 May;24(5):623-7. doi: 10.1007/s00381-007-0568-2. Epub 2008 Jan 23.
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Anterolateral and posterolateral approaches to the foramen magnum: technical description and experience from 97 cases.枕大孔前外侧和后外侧入路:技术描述及97例经验
Skull Base Surg. 1995;5(1):9-19. doi: 10.1055/s-2008-1058945.
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Chordoid meningioma, an uncommon variant of meningioma: a clinicopathologic study of 12 cases.脊索样脑膜瘤:一种罕见的脑膜瘤变异型——12例临床病理研究
J Neurooncol. 2006 Jul;78(3):263-9. doi: 10.1007/s11060-005-9092-y. Epub 2006 Apr 21.
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Malignant disseminated chordoid meningioma in a 12-year-old child: a role for early cranial and spinal radiation treatment after subtotal resection.一名12岁儿童的恶性播散性脊索样脑膜瘤:次全切除术后早期颅脑和脊髓放射治疗的作用
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