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[1岁以下儿童先天性脑肿瘤]

[Congenital brain tumors in children under 1 year old].

作者信息

Zemskaia A G, Bersnev V P

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 1983 Jul-Aug(4):3-7.

PMID:6684860
Abstract

Secondary, paraventricular and, less frequently, primary tumors of the lateral and third ventricles usually of supratentorial localization prevailed among congenital tumors of the brain. They impair the drainage of cerebrospinal fluid and cause internal hydrocephalus. The clinical picture of congenital cerebral tumors is characterized by a manifest hypertensive-hydrocephalic syndrome and a severe general condition. The neurological symptomatics, the EEG and the Echo-EG usually yielded exact information on internal hydrocephalus but rarely helped in determining the localization and character of the tumor. Pneumoventriculography, angiography, computer tomography, and radioisotope diagnosis were methods which provided the most information. Pneumoventriculography, however, causes many complications and the method of isotope diagnosis and computer tomography is therefore preferable because it is sparing and safe for the use in children of the first year of life.

摘要

在先天性脑肿瘤中,继发于侧脑室和第三脑室的室旁肿瘤较为常见,而原发于侧脑室和第三脑室且通常位于幕上的肿瘤相对少见。它们会影响脑脊液引流,导致梗阻性脑积水。先天性脑肿瘤的临床表现以明显的高血压性脑积水综合征和严重的全身状况为特征。神经系统症状、脑电图和脑回声图通常能提供有关梗阻性脑积水的确切信息,但很少有助于确定肿瘤的位置和性质。气脑造影、血管造影、计算机断层扫描和放射性同位素诊断是能提供最多信息的方法。然而,气脑造影会引发许多并发症,因此放射性同位素诊断和计算机断层扫描方法更可取,因为它们对一岁儿童使用时较为安全且损伤小。

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