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[多发性脑膜瘤]

[Multiple meningioma].

作者信息

Kyoi K, Yokoyama K, Hoshida T, Takemura K, Tanikake T, Utsumi S, Harada T, Terada H, Aoyama N

出版信息

No Shinkei Geka. 1983 Oct;11(10):1099-105.

PMID:6646342
Abstract

Meningiomas are the most popular benign intracranial tumors, but they are rarely seen as a multiple growth. The incidence of multiple meningiomas, defined by Cushing and Eisenhardt, is about 1 to 2 per cent of all meningioma cases. Though many cases of the multiple meningiomas were reported previously in the world, some of them were concomitant with von Recklinghausen's disease or acoustic neurinoma. Most of the cases of the multiple meningiomas reported showed multiple lesion at the time of operation or after a few years of the initial operation. We have encountered two patients with multiple meningioma without the stigmata of von Recklinghausen's disease in our clinic. Case 1. A 58-year-old female visited the hospital complaining of headache and occasional nausea on February 6, 1980. Plain and enhanced cT confirmed a large tumor in the right parietal region and three small tumor nodules in the right occipital region. Carotid angiogram detected only two tumors of frontal falx. Apparent two tumor stains were seen on the region, and they were fed by meningeal frontal and parietal region, and they were fed by meningeal arteries through the right ophthalmic artery. A large tumor of parietal and a small tumor of frontal region on the right side of falx were removed. Three nodular tumors of right occipital convexity were extirpated at the same time. Histological examination of the tumors disclosed all extirpated tumors were fibroblastic meningioma. Case 2. A 61-year-old male developed convulsive seizure of the right upper limb and right side of the face was diagnosed as having convexity meningioma in the left parietal region.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

脑膜瘤是最常见的颅内良性肿瘤,但很少见多发生长情况。库欣(Cushing)和艾森哈特(Eisenhardt)定义的多发脑膜瘤发病率约占所有脑膜瘤病例的1%至2%。尽管此前世界上已报道过许多多发脑膜瘤病例,但其中一些与冯·雷克林豪森病(von Recklinghausen's disease)或听神经瘤并发。大多数报道的多发脑膜瘤病例在手术时或初次手术后几年出现多个病灶。我们在诊所遇到了两名无冯·雷克林豪森病特征的多发脑膜瘤患者。病例1:一名58岁女性于1980年2月6日因头痛和偶尔恶心就诊。平扫及增强CT证实右顶叶有一个大肿瘤,右枕叶有三个小肿瘤结节。颈动脉血管造影仅发现额叶镰旁有两个肿瘤。该区域可见明显的两个肿瘤染色,由脑膜额叶和顶叶供血,通过右眼动脉由脑膜动脉供血。切除了镰旁右侧顶叶的一个大肿瘤和额叶的一个小肿瘤。同时切除了右枕叶凸面的三个结节状肿瘤。肿瘤组织学检查显示所有切除的肿瘤均为纤维母细胞型脑膜瘤。病例2:一名61岁男性出现右上肢抽搐发作,右侧面部抽搐,被诊断为左顶叶凸面脑膜瘤。(摘要截短于250字)

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