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儿童患者双侧脉络丛黄色肉芽肿性病变。

Symptomatic bilateral choroid plexus xanthogranuloma in a pediatric patient.

机构信息

Department of Neurosurgery, Cukurova University School of Medicine, Adana, Turkey.

Department of Pathology, Cukurova University School of Medicine, Adana, Turkey.

出版信息

Childs Nerv Syst. 2022 Jul;38(7):1377-1380. doi: 10.1007/s00381-021-05374-7. Epub 2021 Oct 1.

Abstract

INTRODUCTION

Central nervous system xanthogranulomas are uncommon clinical entities, and symptomatic bilateral choroid plexus xanthogranulomas are rare.

CASE PRESENTATION

We present the case of a 15-year-old male patient with bilateral choroid plexus xanthogranulomas with symptoms of increased intracranial pressure. Gross total resection of the tumor in the left lateral ventricle was performed. The patient improved, and asymptomatic right-sided tumor was monitored at follow-up.

CONCLUSION

The main treatment objective in these tumors is gross total resection. Asymptomatic tumors can be followed without intervention. However, surgery should be performed for symptomatic tumors that cause hydrocephalus or symptoms of increased intracranial pressure.

摘要

介绍

中枢神经系统黄色肉芽肿是一种罕见的临床实体,而有症状的双侧脉络丛黄色肉芽肿则更为罕见。

病例介绍

我们报告了一例 15 岁男性患者双侧脉络丛黄色肉芽肿,伴有颅内压增高的症状。行左侧侧脑室肿瘤全切除。患者病情改善,右侧无症状肿瘤在随访中监测。

结论

这些肿瘤的主要治疗目标是大体全切除。对于无症状且不引起脑积水或颅内压增高症状的肿瘤,可以不进行干预而随访观察。然而,对于引起脑积水或颅内压增高症状的有症状肿瘤,应进行手术治疗。

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