中枢神经系统炎性假瘤的诊断及治疗（一例报告并文献复习）

Diagnosis and treatment of CNS inflammatory pseudotumour： review of the literature and one casereport

目的探讨中枢神经系统炎性假瘤的临床、影像学、病理特点及治疗。方法回顾性分析1例中枢神经系统炎性假瘤患者的临床资料。临床表现为间断性头痛伴右侧肢体无力，头颅MRI显示左侧顶叶长T1、长T2信号，增强后明显强化。结果行开颅手术切除病变，术后效果良好，病理回报浆细胞肉芽肿；术后3个月MRI检查显示病变消失，脑组织水肿较术前明显减轻。结论中枢神经系统炎性假瘤病例少见，临床表现和影像学改变无特异性，术后病理检查是诊断的主要依据。手术全切除治疗效果好。

Objective To explore the clinical manifestation, imaging examination, pathological features, diagnosis and treatment of CNS inflammatory pseudotumour. Methods The clinical manifestation, neuroimaging and neuropathological data of a patient with intracerebral bfflammatory pseudotumour were analyzed retrospectively. The clinical manifestation of this patient included intermittent headache and weakness of right limbs. Brain MR! showed abnormal high T1 and T2 signals in the left pariental lobe and the signals were enhanced obviously. Results The patient was treated with operation. After operation, he recovered very well. The pathological result was plasma cell granuloma. Conclusions CNS inflammatory pseudotumour is an unusual disease in clinical practice. This disease is diagnosed mainly depended on pathological examinations because there is no specific clinical and imaging manifestation. Total removal is recommended for its treatment.