女童巨大脑实质内脑膜瘤：病例报告及文献综述
Giant Intraparenchymal Meningioma in a Female Child: Case Report and Literature Review.
作者信息
Guo Huachao, Liang Hao, Wang Jiaguang, Wen Shuo, Wang Yong, Wang Yushe, Ma Zhen
机构信息
Department of Neurosurgery, Henan University People's Hospital, Henan Provincial People's Hospital, Zhengzhou, People's Republic of China.
出版信息
Cancer Manag Res. 2021 Feb 25;13:1989-1997. doi: 10.2147/CMAR.S294224. eCollection 2021.
BACKGROUND
Intraparenchymal meningiomas without dural attachment are extremely rare, especially in female children. To our knowledge, fibrous intraparenchymal meningioma located in the temporal lobe has never been reported in female children. The significance in the differential diagnosis of lesions in the temporal lobe should be emphasized.
CASE PRESENTATION
A 12-year-old girl was admitted to our hospital, complaining of recurrent generalized seizures for 2 months. Magnetic resonance imaging demonstrated a solid lesion located in the temporal lobe. The lesion underwent gross total resection. Histopathological examination indicated that the lesion was a fibrous meningioma. Postoperative rehabilitation was uneventful.
CONCLUSION
This case report presents an extremely unusual intraparenchymal fibrous meningioma of the temporal lobe with peritumoral edema and reviewed 21 intraparenchymal meningioma cases in children and to discuss the clinical presentation and treatment, differential diagnosis, and radiological features.
背景
脑实质内无硬脑膜附着的脑膜瘤极为罕见，尤其是在女童中。据我们所知，位于颞叶的纤维性脑实质内脑膜瘤在女童中从未有过报道。应强调其在颞叶病变鉴别诊断中的意义。
病例报告
一名12岁女孩因反复全身性癫痫发作2个月入住我院。磁共振成像显示颞叶有一实性病变。该病变接受了全切手术。组织病理学检查表明该病变为纤维性脑膜瘤。术后康复顺利。
结论
本病例报告展示了一例极为罕见的伴有瘤周水肿的颞叶脑实质内纤维性脑膜瘤，并回顾了21例儿童脑实质内脑膜瘤病例，探讨了临床表现、治疗、鉴别诊断及影像学特征。
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