Oi S, Raimondi A J
Am J Dis Child. 1981 Dec;135(12):1122-4. doi: 10.1001/archpedi.1981.02130360030011.
We report nine cases of obstructive or communicating hydrocephalus among 64 infants and children with intraspinal neoplasms. There were three intramedullary, four intradural, and two extradural tumors. Although four patients had papilledema, and five myelograms revealed total block, the total CSF protein level was not always elevated in the fluid above the intraspinal lesion. Analysis of these nine cases permits several different pathogenetic considerations of hydrocephalus associated with intraspinal tumors. The high incidence (14%) of this coexistent syndrome might be a characteristic of intraspinal neoplasms in infants and young children.
我们报告了64例患有脊髓内肿瘤的婴幼儿和儿童中有9例发生梗阻性或交通性脑积水。其中有3例髓内肿瘤、4例硬脊膜内肿瘤和2例硬脊膜外肿瘤。尽管4例患者有视乳头水肿,5例脊髓造影显示完全梗阻,但脊髓病变上方脑脊液中的总蛋白水平并不总是升高。对这9例病例的分析有助于对与脊髓肿瘤相关的脑积水进行几种不同的发病机制思考。这种共存综合征的高发病率(14%)可能是婴幼儿脊髓肿瘤的一个特征。