Wysokiński T, Jaworski M
Oddziału Neurochirurgii Szpitala Górniczego, Jastrzebiu Zdroju.
Neurol Neurochir Pol. 1993 Nov-Dec;27(6):925-9.
A case of a 58-year old woman in whom two meningiomas were discovered and removed successfully is presented. One of the meningiomas belonged to tentorial meningioma and was localized in the posterior fossa, compressing the right cerebellar hemisphere and fourth ventricle and finally producing obstructive hydrocephalus. The second was parasagittal meningioma and was localized in the frontal region on the left side. The patient was operated in two stages--first ventricular drainage was applied and posterior fossa meningioma was successfully removed totally with coagulation of the dural attachment. In the second stage, one month after the first operation parasagittal meningioma was removed totally, dural attachment was thoroughly coagulated. The patient had a good outcome is self dependent and able to carry on normal activity.
本文介绍了一例58岁女性患者,其成功发现并切除了两个脑膜瘤。其中一个脑膜瘤属于小脑幕脑膜瘤,位于后颅窝,压迫右侧小脑半球和第四脑室,最终导致梗阻性脑积水。另一个是矢状窦旁脑膜瘤,位于左侧额叶区域。患者分两阶段进行手术——首先进行脑室引流,然后成功完全切除后颅窝脑膜瘤并凝固硬脑膜附着处。在第二阶段,即第一次手术后一个月,完全切除矢状窦旁脑膜瘤,彻底凝固硬脑膜附着处。患者预后良好,能够自理并进行正常活动。