摘要
目的探讨第四脑室髓母细胞瘤的临床诊断及显微手术特点。方法回顾性分析19例第四脑室髓母细胞瘤患者的临床及随访资料。结果 14例全切,5例次全切。4例脑积水无缓解,2例一过性小脑性缄默症。全部病例随访3年无复发。结论第四脑室髓母细胞瘤临床表现取决于肿瘤的基底部及大小,主要为小脑性共济失调、高颅压症状及第四脑室底神经核功能障碍。MRI是术前诊断髓母细胞瘤的依据,显微手术效果良好。
Objective To discuss Ihe characteristic of diagnosis and treatment of the medulloblastoma in the fourth ventricles. Methods The clinical and follow - up data of t9 cases of medulloblastoma in the fourth ventricle were analyzed retrospective Results 14 cases of total microscopic resection, 5 cases of subtotal microscopic resection, d cases of hydroceph- alus without mitigation,2 case of transient cerebellar tourism. All patients were followed up for 3 years without recunence. Conclusion The clinical manifestations depend on basilar part and size of the rnedulloblastoma in the fourth ventricles, mainly cerebellar ataxia,symptoms of intracranial hypertension and nucleus＇ dysfunction in the basefond of the fourth ventricle. MRI is based on preoperative diagnosis, microsurgery well.
出处
《中国医学创新》
CAS
2010年第28期16-17,共2页
Medical Innovation of China
关键词
第四脑室肿瘤
髓母细胞瘤
显微手术
The fourth ventricle tumor
Medulloblastoma
Microsurgery
