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脑实质内或皮层下脑膜瘤的临床特点

张健 费昶 衡雪源 岳英杰 朱树干

国际神经病学神经外科学杂志2011,Vol.38Issue(4):314-318,5.
国际神经病学神经外科学杂志2011,Vol.38Issue(4):314-318,5.

脑实质内或皮层下脑膜瘤的临床特点

Clinical features of intraparenchymal and/or subcortical meningioma

张健 1费昶 1衡雪源 1岳英杰 2朱树干3

作者信息

  • 1. 临沂市人民医院神经外科,山东临沂276003
  • 2. 滨州医学院在读研究生
  • 3. 山东大学齐鲁医院神经外科
  • 折叠

摘要

Abstract

Objective To investigate the epidemiologic peculiarity, clinical presentations, radiological features and pathological factors of intraparenchymal and/or subcortical meningiomas. Methods The authors retrospectively studied two patients with intraparenchymal meningiomas operated in recent years and reviewed 17 patients with intraparenchymal and/or subcortical meningiomas reported in the literature. Results In the 19 cases, eight patients were male and eleven were female. The male to female ratio was 1; 1.38. The age of the 19 cases ranged from 1 to 73 years, and the median age wag 17 years. The initial symptoms of the 19 cases were predominantly epilepsies(52.6% ) , and next to it were headaches (26. 3% ). Except for two cases due to lack of the data of CT and MRI, seven (41.2% ) were cystic meningiomas, twelve (70.6% ) displayed peritumoral edema, and three (17.6% ) were accompanied with calcification among the other 17 cases of intraparenchymal and/or subcortical meningiomas. Out of the 19 cases, WHO grade I made up 78.9% (15 cases), WHO grade II 15.8% (three cases) and WHO grade I 5.3% (one case). Most of WHO grade I intraparenchymal and/or subcortical meningiomas were fibroblastic, which made up 73. 3%. Conclusions Compared with the common meningioma, intraparenchymal and/or subcortical meningioma is more often occurring in male, and at younger age. The initial symptom is predominantly epilepsies. The incidence of cysts and WHO grade II and M meningiomas is higher. The most of WHO grade I intraparenchymal and/or subcortical meningiomas were fibroblastic, a sharp different from common meningiomas.

关键词

脑实质内脑膜瘤/皮层下脑膜瘤/临床表现/诊断

Key words

intraparenchymal meningioma/ subcortical meningioma/ clinical feature/ diagnose

引用本文复制引用

张健,费昶,衡雪源,岳英杰,朱树干..脑实质内或皮层下脑膜瘤的临床特点[J].国际神经病学神经外科学杂志,2011,38(4):314-318,5.

基金项目

山东省科技攻关项目(编号GG0815310235) (编号GG0815310235)

国际神经病学神经外科学杂志

OACSTPCD

1673-2642

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