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侧脑室肿瘤(第一部分)——30例临床表现(作者译)

[Lateral ventricle tumors (Part 1)--clinical manifestations on 30 cases (author's transl)].

作者信息

Kitaoka K, Tashiro K, Sato M, Abe H, Tsuru M

出版信息

No Shinkei Geka. 1978 Aug;6(8):757-65.

PMID:724079
Abstract

The clinical investigations especially on symptomatology of 30 cases of the tumors of the lateral ventricle are carried out. For the clinical analysis, in agreement with Koos and Laubichler, the tumors of the lateral ventricle are classified into 2 groups, as follows: 1. Intraventricular tumors group (11 cases). 2. Paraventricular tumors group (18 cases). The following points are emphasized in the clinical features excluding radiological findings. 1. Because of symptomatologically no difference between the intraventricular tumors group and paraventricular tumors group, paraventricular tumors are included into the tumors of the lateral ventricle. 2. On neurological signs and symptoms, we contrast "false" localising signs which are common in patients with objective evidence of raised intracranial pressure and intermittent symptoms which occur more frequently with tumors in the ventricular system. 3. The results of surgical removal of the tumors are not always good. The diversity of results probably reflects the grade of malignancy and growth of the tumors, and skillfulness of operative technique is required, not to do damage to essential neurological elements and vital structures neighbouring the lateral ventricle.

摘要

对30例侧脑室肿瘤患者进行了临床研究,尤其是症状学方面的研究。为进行临床分析,按照库斯(Koos)和劳比希勒(Laubichler)的方法,将侧脑室肿瘤分为2组,具体如下:1. 脑室内肿瘤组(11例)。2. 脑室旁肿瘤组(18例)。在不包括影像学检查结果的临床特征方面,强调以下几点:1. 由于脑室内肿瘤组和脑室旁肿瘤组在症状学上无差异,故将脑室旁肿瘤纳入侧脑室肿瘤。2. 在神经体征和症状方面,我们对比了“假”定位体征(常见于有颅内压升高客观证据的患者)和间歇性症状(在脑室系统肿瘤患者中更频繁出现)。3. 肿瘤手术切除的结果并非总是良好。结果的多样性可能反映了肿瘤的恶性程度和生长情况,并且需要熟练的手术技巧,以免损伤侧脑室邻近的重要神经结构和生命结构。

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