[1]甘　武　詹升全　林晓风　周德祥　王　鹏.原发脑室内神经鞘瘤2例报道及文献复习[J].中国临床神经外科杂志,2018,(11):714-716.[doi:10.13798/j.issn.1009-153X.2017.11.004]
　GAN Wu,ZHAN Sheng-quan,LIN Xiao-feng,et al.Report of 2 cases of primary intraventricular schwannomas and review of literature[J].,2018,(11):714-716.[doi:10.13798/j.issn.1009-153X.2017.11.004]
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原发脑室内神经鞘瘤2例报道及文献复习()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2018年11期
页码:
714-716
栏目:
论著
出版日期:
2018-11-25

文章信息/Info

Title:
Report of 2 cases of primary intraventricular schwannomas and review of literature
作者:
甘　武　詹升全　林晓风　周德祥　王　鹏
510080 广州，广东省人民医院（广东省医学科学院）神经外科（甘　武、詹升全、林晓风、周德祥、王　鹏）
Author(s):
GAN Wu;  ZHAN Sheng-quan;  LIN Xiao-feng;  ZHOU De-xiang;  WANG Peng
Department of Neurosurgery, Guangdong General Hospital, Guangzhou 510080, China
关键词:
神经鞘瘤; 第四脑室; 侧脑室; 显微手术
Keywords:
Intraventricular schwannoma;  Diagnosis;  Treatment;  Microsurgery
分类号:
R 739.41; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2017.11.004
文献标志码:
A
摘要:
目的 探讨原发脑室内神经鞘瘤的临床特点及治疗。方法 回顾性分析2例原发脑室内神经鞘瘤的临床资料，并结合文献进行分析。 结果 2例均为青年病人，影像学检查示脑室内占位明显，术前误诊为其他病变，开颅手术全切肿瘤，术后病理诊断证实为神经鞘瘤。术后随访1~3年，未见肿瘤复发。结论 原发脑室内神经鞘瘤非常罕见，基本为良性病变，影像表现多样，不具特异性，可出现囊肿、周围水肿、钙化、伴脑积水等多种表现，增强扫描均有不同程度强化，术前易误诊，手术全切率高，预后良好。
Abstract:
Objective To analyze the clinical characteristics and the prognosis of primary intraventricular schwannomas (PIVS). Methods The clinical data of 2 patients with PIVS were analyzed retrospectively and the relative literature was reviewed. Results The two patients with PIVS were all young. The examination of brain imaging suggested that there were intraventricular occupying lesions in the patients, in whom the tumors were completely resected by craniotomy. The schwannomas were proved pathologically. The following-up from 1 to 3 years after the surgery showed that no tumors recurred in all the patients. Conclusions PIVS are very rare and basically benign. The imaging features are diverse and are not specific. Cysts, peritumorous edema, tumorous calcification and associated hydrocephalus may be found on cerebral imagings. CT or MRI scanning shows that there is homogeneous or heterogeneous enhancement after contrast application in PIVS. Preoperative misdiagnosis is made easily, but the total resection rate is high and the prognosis is good in the patients with PIVS.

参考文献/References:


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备注/Memo

备注/Memo:
作者单位：510080 广州，广东省人民医院（广东省医学科学院）神经外科（甘　武、詹升全、林晓风、周德祥、王　鹏） 通讯作者：詹升全，E-mail：zhanshengquan@126.com
更新日期/Last Update: 2018-11-20