Besel R, Assmann H, Usbeck W, Schumann E
Arch Geschwulstforsch. 1979;49(2):132-9.
A report is given on 40 spinal cord tumours in children and infants, the diagnosis of which was considerably delayed in part. 28 children were hospitalised because of fixed paralysis, incomplete or complete compression of spinal cord or cauda. Persisting pain in various sections of the spine, often combined with abnormalities in posture and position are suspicious on tumour as long as another cause is proved. X-ray pictures and analysis of lumbarcerebrospinal fluid are in the most cases of decisive importance for a progressing diagnosis. Myeloscintigraphy is specially useful for an early and exclusing diagnosis.
报告了40例儿童和婴儿脊髓肿瘤,部分病例诊断明显延迟。28名儿童因肢体固定性瘫痪、脊髓或马尾不完全或完全受压而住院。只要未证实有其他病因,脊柱各部位持续疼痛,常伴有姿势和体位异常,就应怀疑肿瘤。X线片和腰椎脑脊液分析在大多数病例中对进一步诊断起决定性作用。脊髓闪烁扫描术对早期排除诊断特别有用。