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[松果体区肿瘤切除术后前庭蜗神经综合征的动态变化]

[The dynamics of the vestibulocochlear syndrome after the removal of tumors in the pineal area].

作者信息

Blagoveshchenskaia N S, Tissen T P, Kapitanov D N

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 1996 Apr-Jun(2):22-5.

PMID:8771759
Abstract

The paper presents the follow-up data on 39 patients who underwent microsurgical removal of pineal tumors. Computerized and magnetic resonance tomographies were performed prior to and following the removal of pineal tumor. Otoneurological symptoms were analyzed in their dynamics in 32 patients in the early postoperative period (up to 20 days) and in 6 patients in the late period (1 to 5 years) after radiation therapy. Seven patients died from intracranial complications in the early postoperative period. Acoustic and vestibular functions were evaluated from otoneurological, electronystagmographic, pure-tone and verbal audiometric findings. The postoperative positive dynamics of acoustic and vestibular functions was observed in most patients. A steady-state positive effect also remained in 5 patients in the long-term period. The paper gives 2 cases with clear-cut positive cochlear dynamics after removing pineal tumors.

摘要

本文呈现了39例行松果体肿瘤显微手术切除患者的随访数据。在松果体肿瘤切除前后均进行了计算机断层扫描和磁共振成像。对32例患者术后早期(至20天)以及6例放疗后晚期(1至5年)的耳神经学症状动态变化进行了分析。7例患者在术后早期死于颅内并发症。根据耳神经学、眼震电图、纯音和言语听力测定结果评估听觉和前庭功能。大多数患者术后听觉和前庭功能呈现积极动态变化。长期来看,5例患者也保持了稳定的积极效果。本文给出了2例切除松果体肿瘤后耳蜗功能呈现明确积极变化的病例。

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