Zhou Jiahua, Wu Yingxi, Qin Huaizhou, Wang Shoujie, Feng Dayun, Yang Di
Department of Neurosurgery, Tangdu hospital, Air Force Medical University, Xi'an, Shaanxi, China.
Department of Radiology, Tangdu hospital, Air Force Medical University, Xi'an, Shaanxi, China.
Front Oncol. 2024 Apr 3;14:1295483. doi: 10.3389/fonc.2024.1295483. eCollection 2024.
The incidence of cerebral herniation caused by intratumoral hemorrhage (ITH) in cystic oligodendroglioma (COD) is exceedingly rare. This study presents a case of cerebral herniation subsequent to cystic oligodendroglioma (COD) and sudden intratumoral hemorrhage. Following initial emergency treatment and evaluation, we successfully circumvented the solid component of the tumor and proceeded with cystic puncture and external drainage to prevent the incidence of brain herniation and mitigate the severity of associated symptoms. Based on preoperative examination results, the cystic glioma was successfully resected, and the patient experienced an uneventful recovery. According to the pathological findings, the oligodendroglioma was classified as World Health Organization (WHO) grade III. The treatment efficacy was comparable to cases of the same pathological grade, in which neither intratumoral hemorrhage nor cerebral hernia was observed.
囊性少突胶质细胞瘤（COD）因瘤内出血（ITH）导致脑疝的发生率极为罕见。本研究报告了一例囊性少突胶质细胞瘤（COD）伴突发瘤内出血后发生脑疝的病例。经过初步的紧急治疗和评估，我们成功避开了肿瘤的实性部分，进行了囊肿穿刺和外引流，以防止脑疝的发生并减轻相关症状的严重程度。根据术前检查结果，成功切除了囊性胶质瘤，患者恢复顺利。根据病理结果，少突胶质细胞瘤被分类为世界卫生组织（WHO）III级。治疗效果与相同病理分级且未观察到瘤内出血或脑疝的病例相当。
