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“延髓内的骨骼?”——一例颅内畸胎瘤病例报告及文献复习

"Bones in the Medulla Oblongata?"-A Case Report of Intracranial Teratoma and Review of the Literature.

作者信息

Zhang Xu, Wang Hongxiang, Hong Fan, Xu Tao, Chen Juxiang

机构信息

Department of Neurosurgery, Changzheng Hospital, Navy Military Medical University, Shanghai, China.

Department of Neurosurgery, Changhai Hospital, Navy Military Medical University, Shanghai, China.

出版信息

Front Pediatr. 2021 May 5;9:628265. doi: 10.3389/fped.2021.628265. eCollection 2021.

Abstract

Teratoma in the medulla oblongata is extremely infrequent and has been rarely reported. Severe and sustained brain stem compression resulting from these granitic tumors may cause potentially fatal impairment. Here, we reported a novel case of teratoma that occurred in the medulla oblongata. This 15 year-old boy suffered from a progressive gait disturbance and weakness of limbs for nearly 13 years. Magnetic Resonance Imaging (MRI) revealed an unusual mixed mass in the medulla oblongata and C1-2 spine, which was confirmed as mature teratoma by histopathological examination. Then, surgical resection was performed, followed by postoperative continuous rehabilitation. After a period of rehabilitation, this patient is currently able to mobilize with sticks. No signs of local recurrence occurred. Conclusively, surgical removal is still the preferred treatment for teratoma.

摘要

延髓畸胎瘤极为罕见,鲜有报道。这些质地坚硬的肿瘤导致的严重且持续的脑干压迫可能会造成潜在的致命损害。在此,我们报告了一例发生在延髓的新型畸胎瘤病例。这名15岁男孩患有渐进性步态障碍和肢体无力近13年。磁共振成像(MRI)显示延髓和C1 - 2脊柱有一个异常混合性肿块,经组织病理学检查确认为成熟畸胎瘤。随后进行了手术切除,术后持续进行康复治疗。经过一段时间的康复,该患者目前能够借助拐杖活动。未出现局部复发迹象。总之,手术切除仍是畸胎瘤的首选治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bf1e/8131682/b17250259b43/fped-09-628265-g0001.jpg

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