摘要
Abstract
Objective To investigate misdiagnosed causes and precautionary measures of radiation encephalopathy after glioma surgery to improve diagnosis and treatment levels.Methods Clinical data of 5 patients with radiation encephalopathy after glioma surgery admitted during January 2013 and August 2015 was retrospectively analyzed.Results Patients were admitted for headache, vomiting, dizziness, recurrent attacks of epilepsy, logagnosia, left limb disorder, degree Ⅰ left upper limb muscle strength, degree Ⅱ left lower limb, dizzy associated by left eye blurred vision, left limbs weakness and degree Ⅳ myodynamia.All patients were misdiagnosed as having postoperative recurrence of glioma recurrence by head CT and (or) MRI examination, and misdiagnosed time was 5-15 d.All the 5 patients underwent surgery, and radiation encephalopathy after glioma surgery was confirmed by postoperative pathological results.Clinical symptoms were relieved after corresponding treatment, and patients were discharged 10-15d after surgery.Conclusion Patients with radiation encephalopathy show atypical induced by complex manifestations, and clinicians should comprehensively understand the related knowledge, carefully ask disease history and perform comprehensive examination so as to confirm radiation encephalopathy as early as possible to avoid misdiagnosis occurrence.关键词
神经胶质瘤/放射性脑病/误诊/肿瘤复发Key words
Glioma/Radiation encephalopathy/Misdiagnosis/Neoplasm recurrence分类
医药卫生
