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以脑室播散所致低压性脑积水为表现的乳头状胶质神经元肿瘤:病例报告

Papillary glioneuronal tumor presenting with low-pressure hydrocephalus from intraventricular spread: Case Report.

作者信息

Myers Nicholas A, Marker Daniel F, Shah Kushal J, Payner Troy D, Kulwin Charles G

机构信息

College of Osteopathic Medicine, Marian University, 3200 Cold Spring Rd, Indianapolis, IN, 46222, USA.

Department of Pathology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.

出版信息

Radiol Case Rep. 2023 Aug 4;18(10):3632-3635. doi: 10.1016/j.radcr.2023.07.061. eCollection 2023 Oct.

Abstract

Papillary glioneuronal tumors are a rare and typically benign entity with pathological and radiographic complexity. Presentation can mimic other neoplasms, making diagnosis more challenging. The literature to date describes the clinical understanding, diagnostic, therapeutic, and prognostic characteristics of this limited number of patients. In this article, we report an unusual case of a glioneuronal tumor with multifocal presentation, normal pressure hydrocephalus-like symptoms, and large peritumoral parenchymal cysts, which guided the surgical approach. This unusual presentation has not previously been reported and adds valuable information to the clinical recognition and management literature.

摘要

乳头状胶质神经元肿瘤是一种罕见的、通常为良性的实体肿瘤,具有病理和影像学复杂性。其临床表现可能与其他肿瘤相似,这使得诊断更具挑战性。迄今为止的文献描述了这一有限数量患者的临床认识、诊断、治疗和预后特征。在本文中,我们报告了一例不寻常的胶质神经元肿瘤病例,该病例具有多灶性表现、类似正常压力脑积水的症状以及巨大的瘤周实质囊肿,这些情况指导了手术方法。这种不寻常的表现此前尚未见报道,为临床识别和管理文献增添了有价值的信息。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c73/10432134/dcba80a07b5e/gr1.jpg

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