Kloc W, Imieliński B L, Wasilewski W, Stempniewicz M, Jende P, Karwacki Z
Department of Neurosurgery, Medical University of Gdañsk, Poland.
Childs Nerv Syst. 1998 Aug;14(8):350-3. doi: 10.1007/s003810050242.
Meningiomas of the lateral ventricles of the brain are rare tumours, accounting for approximately 0.5-5% of all intracranial meningiomas. Their natural history and symptomatology and the possibilities of early diagnosis are presented. The intraventricular location of the slow-growing benign mass provides a compensatory mechanism in the form of reserve space, which contributes to the delay in clinical demonstration of symptoms and signs. This makes the choice of diagnostic procedure an essential problem. CT and MRI are useful in detecting these masses, and magnetic resonance angiography (MRA) has also proved to be of great value in demonstrating the vascular supply of the tumour. This paper deals with two cases. In case 1 CT, MRI and MRA and in case 2 CT examination proved to be very useful. The tumours were removed by a transcortical approach in the posterior area.
大脑侧脑室脑膜瘤是罕见肿瘤,约占所有颅内脑膜瘤的0.5 - 5%。本文介绍了其自然病史、症状学以及早期诊断的可能性。生长缓慢的良性肿块位于脑室内,提供了一种以储备空间形式存在的代偿机制,这有助于延迟症状和体征的临床显现。这使得诊断程序的选择成为一个关键问题。CT和MRI有助于检测这些肿块,磁共振血管造影(MRA)在显示肿瘤的血管供应方面也已证明具有很大价值。本文讨论了两个病例。病例1采用了CT、MRI和MRA检查,病例2采用CT检查,结果证明都非常有用。肿瘤通过后区经皮质入路切除。