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一种罕见的脑干间变性星形细胞瘤。

A rare brainstem anaplastic astrocytoma.

作者信息

You Rongjiao, Liu Xiangfa, Chen Songfa, Tan Lixi, Liu Aiqun, Hong Mingfan, Peng Zhongxing

机构信息

Department of Neurology, School of Clinical Medicine, The First Affiliated Hospital of Guangdong Pharmaceutical University, 19 Nonglinxia Road, Guangzhou, 510080, China.

出版信息

Transl Neurosci. 2022 Sep 6;13(1):270-274. doi: 10.1515/tnsci-2022-0233. eCollection 2022 Jan 1.

DOI:10.1515/tnsci-2022-0233
PMID:36128581
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9449688/
Abstract

BACKGROUND

Anaplastic astrocytoma (AA) is rarely observed in the brainstem and the clinical symptoms and imaging manifestations vary, which present a great challenge to accurate clinical diagnosis.

CASE DESCRIPTION

A 56-year-old woman, with a month-long history of nausea and vomiting, was first diagnosed with acute cerebral infarction and demyelinating disease. The patient showed negative results on enhanced magnetic resonance and F-fluorodeoxyglucose positron emission tomography-computed tomography, and the clinical symptoms were not typical, leading to early misdiagnosis.

CONCLUSION

Finally, the patient was diagnosed with AA by pathological biopsy.

摘要

背景

间变性星形细胞瘤（AA）在脑干中很少见，其临床症状和影像学表现各异，这给准确的临床诊断带来了巨大挑战。

病例描述

一名56岁女性，有长达一个月的恶心和呕吐病史，最初被诊断为急性脑梗死和脱髓鞘疾病。患者增强磁共振成像和F-氟脱氧葡萄糖正电子发射断层扫描-计算机断层扫描结果均为阴性，且临床症状不典型，导致早期误诊。

结论

最终，患者通过病理活检被诊断为AA。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3af3/9449688/91a15393e14a/j_tnsci-2022-0233-fig004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3af3/9449688/bcf225dc084d/j_tnsci-2022-0233-fig001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3af3/9449688/7d97d32cfb96/j_tnsci-2022-0233-fig002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3af3/9449688/5f0f18652d83/j_tnsci-2022-0233-fig003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3af3/9449688/91a15393e14a/j_tnsci-2022-0233-fig004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3af3/9449688/bcf225dc084d/j_tnsci-2022-0233-fig001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3af3/9449688/7d97d32cfb96/j_tnsci-2022-0233-fig002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3af3/9449688/5f0f18652d83/j_tnsci-2022-0233-fig003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3af3/9449688/91a15393e14a/j_tnsci-2022-0233-fig004.jpg

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