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酷似蛛网膜囊肿的后颅窝微囊性脑膜瘤。

Posterior fossa microcystic meningioma mimicking an arachnoid cyst.

作者信息

Bridges James, Brougham Jared, Terrell Danielle, Whipple Stephen, Lee Sungho

机构信息

School of Medicine, LSU Health Shreveport , Shreveport, LA, USA.

Department of Neurosurgery, LSU Health Shreveport, Shreveport, LA, USA.

出版信息

Radiol Case Rep. 2024 Jan 13;19(4):1284-1287. doi: 10.1016/j.radcr.2023.12.065. eCollection 2024 Apr.

DOI:10.1016/j.radcr.2023.12.065
PMID:38292808
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10825519/
Abstract

Microcystic meningioma is an uncommon subtype of World Health Organization grade 1 meningiomas often associated with a shorter progression-free survival. Diagnosis through imaging alone can often be challenging due to atypical characteristics, especially when found in unexpected locations. Here, we present a 55-year-old woman who was diagnosed, based on imaging, with a posterior fossa arachnoid cyst 5 years prior after complaints of headaches and gait imbalance. After surgical resection of the "arachnoid cyst," the diagnosis of microcystic meningioma was made. This case report emphasizes the clinical importance and challenges associated with diagnosing microcystic meningiomas.

摘要

微囊性脑膜瘤是世界卫生组织1级脑膜瘤中一种不常见的亚型,通常与较短的无进展生存期相关。仅通过影像学进行诊断往往具有挑战性,因为其具有非典型特征,尤其是在意外部位发现时。在此,我们报告一名55岁女性,她在因头痛和步态失衡就诊后,5年前经影像学诊断为后颅窝蛛网膜囊肿。在对“蛛网膜囊肿”进行手术切除后,确诊为微囊性脑膜瘤。本病例报告强调了诊断微囊性脑膜瘤的临床重要性及挑战。

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本文引用的文献

1
Enlarging symptomatic arachnoid cyst in an elderly patient: illustrative case.老年患者症状性蛛网膜囊肿增大:病例说明
J Neurosurg Case Lessons. 2023 Apr 10;5(15). doi: 10.3171/CASE2379.
2
Distinct clinical outcome of microcystic meningioma as a WHO grade 1 meningioma subtype.微囊型脑膜瘤作为 WHO 分级 1 型脑膜瘤亚型的独特临床结局。
J Neurooncol. 2023 Jan;161(2):193-202. doi: 10.1007/s11060-022-04034-3. Epub 2022 May 25.
3
Identification of shared genomic aberrations between angiomatous and microcystic meningiomas.血管母细胞瘤型和微囊型脑膜瘤之间共享基因组畸变的鉴定。
Neurooncol Adv. 2019 Sep 28;1(1):vdz028. doi: 10.1093/noajnl/vdz028. eCollection 2019 May-Dec.
4
WHO grade I meningioma subtypes: MRI features and pathological analysis.WHO 分级 I 型脑膜瘤亚型:MRI 特征与病理分析。
Life Sci. 2018 Nov 15;213:50-56. doi: 10.1016/j.lfs.2018.08.061. Epub 2018 Aug 25.
5
An overview of meningiomas.脑膜瘤概述。
Future Oncol. 2018 Sep;14(21):2161-2177. doi: 10.2217/fon-2018-0006. Epub 2018 Aug 7.
6
Characteristic features and proposed classification in 69 cases of intracranial microcystic meningiomas.69例颅内微囊性脑膜瘤的特征及拟议分类
Neurosurg Rev. 2019 Jun;42(2):443-453. doi: 10.1007/s10143-018-0982-9. Epub 2018 May 2.
7
Trigeminal neuropathy associated with an enlarging arachnoid cyst in Meckel's cave: case report, management strategy and review of the literature.与梅克尔腔扩大的蛛网膜囊肿相关的三叉神经病变:病例报告、治疗策略及文献综述
Acta Neurochir (Wien). 2017 Dec;159(12):2309-2312. doi: 10.1007/s00701-017-3262-5. Epub 2017 Jul 31.
8
Microcystic meningioma: difficulties in diagnosis and magnetic resonance imaging findings.微囊性脑膜瘤:诊断困难与磁共振成像表现
Acta Neurol Belg. 2017 Sep;117(3):745-747. doi: 10.1007/s13760-017-0760-4. Epub 2017 Feb 14.
9
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Neurochirurgie. 2013 Dec;59(6):218-20. doi: 10.1016/j.neuchi.2013.09.001. Epub 2013 Nov 6.
10
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Acta Neuropathol. 2013 Mar;125(3):351-8. doi: 10.1007/s00401-013-1093-x. Epub 2013 Feb 12.