Taniguchi E, Kodama Y, Hotta T, Yuki K, Iida K, Hashizume A, Katayama S, Uozumi T
Department of Neurosurgery, Kure National Hospital.
No Shinkei Geka. 1994 Nov;22(11):1085-9.
Supratentorial hemangioblastoma is encountered very rarely. About 80 cases in all have been reported. The authors present a case of supratentorial hemangioblastoma in the thalamus with gradually enlarging cysts. The patient was a 45-year-old man with complaints of left hemiparesis and headache. Computed tomographic scans of the brain showed a cystic mass with mural nodule in the right thalamus. Left vertebral angiography demonstrated a vascular tumor fed by a thalamogeniculate artery. A right temporo-parietal craniotomy was performed and the tumor was totally resected through the transcortical approach. The histological diagnosis was hemangioblastoma. Post-operative course was good except for a minor complication of the left lower quadrant homonymous hemianopsia and left hemiparesis which had disappeared at the time of discharge.
幕上血管母细胞瘤极为罕见。目前总共报道了约80例。作者报告了1例丘脑幕上血管母细胞瘤伴囊肿逐渐增大的病例。患者为一名45岁男性，主诉左侧偏瘫和头痛。脑部计算机断层扫描显示右侧丘脑有一囊性肿物伴壁结节。左侧椎动脉血管造影显示有一由丘脑膝状体动脉供血的血管性肿瘤。行右侧颞顶开颅术，通过经皮质入路将肿瘤完全切除。组织学诊断为血管母细胞瘤。术后过程顺利，仅出现轻微并发症，即左下象限同向性偏盲和左侧偏瘫，出院时已消失。
