颅颈交界区囊性神经鞘瘤的早期诊断

Early Diagnosis of Cystic Neurinoma at the Craniocervical Junction

目的 :探讨颅颈交界区囊性神经鞘瘤的早期诊断。方法 :对 5例起源于C1- 2 神经最初误诊为脑干肿瘤患者的病史、临床表现、影像学特征及外科治疗做了详细的描述。结果 :这5例囊性神经鞘瘤的患者 ,全部经外科手术全切病变 ,MR检查T1,T2 像 :均呈现长T1,长T2信号。结论 :颅颈交界区囊性神经鞘瘤的早期诊断对于患者的早期治疗及其预后是至关重要的。

Objective: To study the early diagnosis of cystic neurinoma at the craniocervical junction and surgical treatment. Methods: 5 cases with cystic neurinoma of the C 1-2 nerve ,originally misdiagnosed as an intrinsic brainstem lesion, are described in detail on the history of the disease,its clinical manifestation and surgical treatment. Results: All the 5 cases with cystic neurinoma were treated with surgical operation,they were all appearing long-T 1 and long T 2 MR signal. Conclusion:It is critical to early diagnose cystic neurinoma at the craniocervical junction for early surgical treatment.