Oka H, Kawano N, Morii S, Suwa T, Irikura K, Saitoh T
Department of Neurosurgery, Kawasaki City Ida Hospital.
Noshuyo Byori. 1994;11(2):193-200.
A case of solitary leptomeningeal extracerebral glioma is reported. A 75-year-old man was admitted to our hospital because of headache and right hemiparesis. CT scan and carotid angiography revealed a tumor in the left convexity. At operation, the tumor was located between the dura mater and the arachnoid membrane and adhered to the brain surface only in a limited area. Histological study including immunostain and electron microscopy showed the tumor as anaplastic oligo-astrocytoma. We speculate that our case may originate from a heterotopic glial nest in the dural border cell layer of dura mater. This explanation seems likely because the tumor was located mostly in the subdural space.
报告一例孤立性软脑膜脑外胶质瘤。一名75岁男性因头痛和右侧偏瘫入院。CT扫描和颈动脉血管造影显示左侧脑凸面有一个肿瘤。手术时,肿瘤位于硬脑膜和蛛网膜之间,仅在有限区域与脑表面粘连。包括免疫染色和电子显微镜检查在内的组织学研究显示该肿瘤为间变性少突-星形细胞瘤。我们推测该病例可能起源于硬脑膜硬脑膜边界细胞层中的异位神经胶质巢。这种解释似乎合理,因为肿瘤大多位于硬膜下间隙。