侧脑室脑膜瘤的诊治(附11例报告)

Diagnosis and treatment of lateral ventricle meningioma (report of 11 cases)

为提高侧脑室脑膜瘤的诊治水平 ,对 11例侧脑室脑膜瘤患者的临床表现、影像学表现、手术结果等进行了分析。结果显示 ,首发表现为头痛 8例、癫痫发作 2例、反应迟钝 1例 ,眼底水肿及同向偏盲 10例 ;CT均示三角部高密度占位病灶 ,脑血管造影示脉络膜前动脉增粗、迂曲 ;11例肿瘤均行手术切除 ,随诊 9例效果良好。提示侧脑室脑膜瘤好发于右侧脑室三角部 ,具有病程长、早期症状不明显、定位体征较少、以纤维型脑膜瘤多见等特点。采用显微外科技术进行手术治疗 ,多能取得较好效果。

To explore the treatment effectiveness of the lateral ventricle meningioma It were analysed that the clinical manifestation,radiation characteristics,operative outcome of 11 patients with lateral ventricle meningiomas The results showed that the initial symptoms respectively were headache(8 cases),epilepsy (2 cases),dullenss to reaction(1 case),papilla edema and homonymous hemianopia(10 cases) Computerized tomography(CT)showed all the patients had high density mass in the trigone;cerebral angiography revealed the enlargement and coiling of anterior choroidal artery 11 patients with the lateral ventricle meningiomas were performed successfully and 9 patients who obatined follow up had good recovery of postoperation The findings suggest that the lateral ventricle meningioma is very rare,the location of tumor is most commonly in the trigone of the right lateral ventricle,the course is relatively long,the early symptoms are not obvious and the signs are relatively less,fibrous type is most common etal Most patients have had better operation outcome,by used the microsurgery technique during the operation [WT5”HZ]