临床神经外科杂志Issue(2)：165-168,4.DOI:10.3969/j.issn.1672-7770.2019.02.014
多形性黄色瘤型星形细胞瘤与癫痫 1 例报告并文献复习
Pleomorphic xanthoastrocytoma and epilepsy( a report of one case and review of literature)
摘要
Abstract
Objective To investigate the imaging features , pathological characteristics , epileptogenic mechanism and surgical treatment of pleomorphic xanthoastrocytoma ( PXA).Methods The clinical data of 1 patient with PXA were analyzed retrospectively.Results A 10-year-old boy presented with repeated epileptic seizures as his first clinical manifestation ,whose EEG monitoring showed abnormal discharges like slow and spike-slow waves mainly in the right temporal lobe regions.MRI scan showed a small lesion located in the right middle and posterior part of temporal lobe with no specific distinct patterns on T 1 and T2-weighted imaging, and heterogeneous patchy enhancement could be found in the lesion.During the operation, the lesion was found in the posterior part of the middle temporal gyrus , which was slightly swollen, yellowish in color, tough in texture and unclear in border , and grew from the cortical surface to the deep part.Intraoperative electrocorticography(ECoG) monitoring revealed that epileptic discharges were mainly located in and around the lesion.No abnormal epileptic discharges showed after extended resection of the lesion. No seizures occurred at 9 months followed up.Conclusions PXA is a rare central nervous system neoplasm, which can cause seizures frequently.Extended resection of the lesion under ECoG monitoring can effectively treat the lesion and seizure.关键词
多形性黄色瘤型星形细胞瘤/癫痫/皮质脑电图监测Key words
pleomorphic xanthoastrocytoma / epilepsy/ electrocorticography分类
医药卫生引用本文复制引用
LI Yun-lin,TAN Bo-jing,QIN Guang-biao..多形性黄色瘤型星形细胞瘤与癫痫 1 例报告并文献复习[J].临床神经外科杂志,2019,(2):165-168,4.基金项目
首都儿科研究所方向引导性基金资助项目( FX-2017-04) （ FX-2017-04）
