Sarkari N B, Bickerstaff E R
Br Med J. 1969 Apr 5;2(5648):21-3. doi: 10.1136/bmj.2.5648.21.
Three cases of brain stem astrocytoma and one of a para-stem vascular tumour are described, each showing a history of relapses and remissions. The diagnoses were confirmed by necropsy, and it is suggested that the relapsing course may have been due to oedema and necrosis in both the tumour and the surrounding brain tissue. Features indicating repeated recurrence of a lesion at the same site in the brain stem justify full neuroradiological investigation before a diagnosis such as multiple sclerosis can be accepted.
本文描述了3例脑干星形细胞瘤和1例脑干旁血管肿瘤,每例均有复发和缓解病史。诊断经尸检证实,提示复发过程可能是由于肿瘤及周围脑组织的水肿和坏死所致。脑干同一部位病变反复复发的特征,在接受如多发性硬化症等诊断之前,有必要进行全面的神经放射学检查。