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结节性硬化症的肿瘤形式。伴发脑积水的临床及治疗意义(作者译)

[Tumoral forms of tuberous sclerosis. The clinical and therapeutic importance of concomitant hydrocephalus (author's transl)].

作者信息

Taptas J N, Kordiolis N, Charalambopoulos F

出版信息

Neurochirurgie. 1978;24(2):113-6.

PMID:307701
Abstract

In a young man and a pregnant young woman presenting since childhood of tuberous sclerosis without epilepsy or mental disorders severe intracranial hypertension developped secondary to obstructive hydrocephalus. Ventriculo-peritoneal shunting unilateral in the first case, bilateral in the second, releaved the patients of all their symptoms. Angiographic studies in both cases showed the existence of extracerebral visceral lesions. After a short review of similar published cases and the proposed treatments the authors suggest as only treatment a shunting procedure without attempt of removal of intracerebral nodules.

摘要

在一名自幼患有结节性硬化症但无癫痫或精神障碍的年轻男性和一名怀孕的年轻女性中,因梗阻性脑积水继发严重颅内高压。第一例为单侧脑室 - 腹腔分流术,第二例为双侧,缓解了患者的所有症状。两例的血管造影研究均显示存在脑外内脏病变。在简要回顾了类似的已发表病例和建议的治疗方法后,作者建议唯一的治疗方法是分流手术,而不尝试切除脑内结节。

相似文献

1
[Tumoral forms of tuberous sclerosis. The clinical and therapeutic importance of concomitant hydrocephalus (author's transl)].结节性硬化症的肿瘤形式。伴发脑积水的临床及治疗意义(作者译)
Neurochirurgie. 1978;24(2):113-6.
2
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Minerva Pediatr. 1995 Apr;47(4):111-7.
3
[Cystic brain tumor associated with tuberous sclerosis -familial occurrence of tuberous sclerosis with normal intelligence- (author's transl)].[与结节性硬化症相关的脑囊性肿瘤 - 智力正常的结节性硬化症家族性发病 - (作者译)]
No Shinkei Geka. 1980 Dec;8(12):1197-202.
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Computed tomography in diagnosis of intracranial tumors versus tubers in tuberous sclerosis.
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Tuberous sclerosis presenting as an intraventricular tumour.
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Cerebrospinal fluid overproduction and hydrocephalus associated with choroid plexus papilloma.
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7
[Unilateral hydrocephalus due to membranous occlusions of the foramen of Monro (author's transl)].[由于Monro孔膜性闭塞导致的单侧脑积水(作者译)]
Acta Neurochir (Wien). 1976;33(3-4):183-212. doi: 10.1007/BF01886669.
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Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 41-1986. A 29-year-old man with mental retardation and recurrent seizures.
N Engl J Med. 1986 Oct 16;315(16):1013-22. doi: 10.1056/NEJM198610163151607.
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引用本文的文献

1
Early diagnosis of subependymal giant cell astrocytoma in children with tuberous sclerosis.结节性硬化症患儿室管膜下巨细胞星形细胞瘤的早期诊断
J Neurol Neurosurg Psychiatry. 1999 Mar;66(3):370-5. doi: 10.1136/jnnp.66.3.370.
2
Tuberous sclerosis - neurosurgical indications in intraventricular tumors.
Neurosurg Rev. 1980;3(2):139-50. doi: 10.1007/BF01644066.
3
Intraventricular tumors in tuberous sclerosis.
Childs Nerv Syst. 1985;1(1):45-8. doi: 10.1007/BF00706730.
4
Tuberous sclerosis in neurosurgery. An analysis of 18 patients.
Acta Neurochir (Wien). 1990;106(3-4):106-9. doi: 10.1007/BF01809450.