Giordano R, Ferla S, Danieli D, Tavolato B
Riv Neurol. 1984 May-Jun;54(3):179-91.
We report here the clinico-pathological data about 4 patients with brainstem tumors. Clinical symptoms were variable but allowed a correct topical diagnosis. On the other hand, all the neuroradiological examinations, especially CT scan of the brain, resulted always negative or without diagnostic value. Good results for the diagnosis were given by pneumoencephalography and ventriculography. The neuropathological examination revealed one spongioblastoma, two malignant astrocytomas and one pontine metastasis of carcinoma of esophagus. Diagnostic troubles, even with modern and sophisticated techniques are stressed here. The clinician should not overweight negative results obtained with these techniques and every time include in the differential diagnosis brainstem tumors.
我们在此报告4例脑干肿瘤患者的临床病理资料。临床症状多样，但能做出正确的定位诊断。另一方面，所有神经放射学检查，尤其是脑部CT扫描，结果总是阴性或无诊断价值。气脑造影和脑室造影对诊断有较好结果。神经病理学检查显示1例海绵状成胶质细胞瘤、2例恶性星形细胞瘤和1例食管癌细胞脑桥转移。本文强调了即使采用现代精密技术仍存在诊断困难。临床医生不应过分看重这些技术所获得的阴性结果，每次鉴别诊断时都应考虑到脑干肿瘤。
