Tani E, Morimura T, Ametani T
No Shinkei Geka. 1979 Mar;7(3):211-8.
A 3-year-old boy had a history of nausea and vomiting for 1 month. After two episodes of tonic cramp, he became drowsy and then semicomatous. Physical examination on admission revealed a dehydrated semicomatous boy with fixed, dilated pupils of equal size, horizontal nystagmus, and left hemiparesis with bilateral Babinski signs. Plain skull films showed a separation of coronal and sagittal sutures. A high density area surrounded by cyst was found in the pineal region in CT scan. Angiography demonstrated stretching of the posterior choroidal arteries, backward displacement of the Galen, the posterior mesencephalic and the precentral vein. The right occipital transtentorial approach was selected to remove the tumor totally. Histology revealed epidermis, hair follicle, sebaceus and sweat glands, columar gland, bone, cartilage, muscle, fatty tissue, nervous tissue, and connective tissue, indicating a pineal teratoma. There was no evidence of germinoma.
一名3岁男孩有1个月的恶心和呕吐病史。在两次强直性痉挛发作后，他变得嗜睡，随后处于半昏迷状态。入院时体格检查发现，该半昏迷男孩脱水，双侧瞳孔等大、固定、散大，有水平眼球震颤，左侧偏瘫并伴有双侧巴宾斯基征。头颅平片显示冠状缝和矢状缝分离。CT扫描发现松果体区有一个被囊肿包围的高密度区。血管造影显示脉络膜后动脉拉长，大脑大静脉、中脑后部静脉和中央前静脉向后移位。选择经右枕叶小脑幕入路将肿瘤完全切除。组织学检查显示有表皮、毛囊、皮脂腺、汗腺、柱状腺、骨、软骨、肌肉、脂肪组织、神经组织和结缔组织，提示为松果体畸胎瘤。未发现生殖细胞瘤的证据。
