髓内脊髓肿瘤的软脑膜播散。三例报告。

Leptomeningeal spread of intramedullary spinal cord tumors. Report of three cases.

作者信息

Bell W O, Packer R J, Seigel K R, Rorke L B, Sutton L N, Bruce D A, Schut L

机构信息

Division of Neurosurgery, Children's Hospital of Philadelphia, Pennsylvania.

出版信息

J Neurosurg. 1988 Aug;69(2):295-300. doi: 10.3171/jns.1988.69.2.0295.

DOI:10.3171/jns.1988.69.2.0295

PMID:3392575

Abstract

Three patients with intramedullary spinal cord tumors and secondary leptomeningeal spread of their tumors are presented. Two patients had astrocytomas and one had a ganglioglioma. Two tumors were located in the cervical spinal cord and one within the thoracic spinal cord. Review of the past and recent literature shows leptomeningeal dissemination of spinal cord tumors to be relatively rare, but it should be suspected and investigated in any patient whose condition deteriorates following removal of a spinal cord neoplasm.

摘要

本文报告了3例脊髓髓内肿瘤并伴有肿瘤软脑膜播散的患者。2例为星形细胞瘤，1例为神经节胶质瘤。2例肿瘤位于颈髓，1例位于胸髓。回顾既往及近期文献发现，脊髓肿瘤的软脑膜播散相对少见，但对于任何在脊髓肿瘤切除后病情恶化的患者，均应怀疑并进行相关检查。