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[儿童囊性脑膜瘤伴瘤内出血——1例报告及文献复习]

[Cystic meningioma associated with intratumoral hemorrhage in a child--report of a case and review of the literature].

作者信息

Inoue M, Sakai S, Fukushima M, Miyake H, Yasunaga A, Kawano M, Tokuyasu K, Miyazaki H, Matsumura H

出版信息

No Shinkei Geka. 1982 Jun;10(6):661-4.

PMID:7121732
Abstract

The case reported here was a 6-year-old girl who complained of sudden headache and nausea followed by vomiting and visited our clinic. Physical examination revealed mental confusion, right abducent palsy and papilledema. Computed tomography demonstrated a round high-density area surrounded by a low-density zone indicating cystic nature and including high-density part. The lesion was located in the right parietal lobe attaching to the flax. Right frontoparietal craniotomy disclosed a brain tumor containing a large cyst in which bleeding from the tumor was confirmed. This mass lesion was totally resected out. Histo-pathological diagnosis was meningioma to contained cystic formation and hemorrhage from the tumor. Therefore, further discussion on the pathogenesis of cyst formation and bleeding from this tumor was presented.

摘要

本文报道的病例是一名6岁女孩,她主诉突发头痛、恶心,随后呕吐,并前来我院就诊。体格检查发现意识模糊、右展神经麻痹和视乳头水肿。计算机断层扫描显示一个圆形高密度区,周围有低密度区,提示囊肿性质,且包含高密度部分。病变位于右侧顶叶,附着于大脑镰。右额顶开颅手术发现一个脑肿瘤,其中有一个大囊肿,证实肿瘤有出血。该肿块病变被完全切除。组织病理学诊断为脑膜瘤,伴有囊肿形成和肿瘤出血。因此,对该肿瘤囊肿形成和出血的发病机制进行了进一步讨论。

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