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本文报告了24例枕大孔区肿瘤。根据肿瘤与延、颈髓的关系及其生长方向分为髓内、髓外颅脊及脊颅三型。髓内型以胶质瘤多见,髓外型则以脑膜瘤、神经膜瘤多见。本组有1例罕见的颅咽管瘤。结合本组资料来看,凡枕颈痛或有颅压增高征者伴发延、颈髓或后组颅神经损害病征之一时应考虑到枕大孔区肿瘤的可能,本病需与多发性硬化、环枕畸形,颈椎关节病,脑脊髓粘连性蛛网膜炎等鉴别。有关本病的手术治疗本文进行了简要的讨论。
This article reports 24 cases of macroporous tumor. According to the relationship between tumor and extension, cervical spinal cord and its growth direction is divided into intramedullary, extramedullary cranial ridge and three types of chiropractic. Intramedullary type glioma more common, extramedullary meningioma, meningioma more common. This group has a rare craniopharyngioma. Combined with the information in this group, where the occipital neck pain or increased intracranial pressure associated with delayed, cervical spinal cord or posterior cranial nerve damage should be considered one of the symptoms may be a large hole tumor of the pillow, the disease with multiple Sclerosis, ring deformity, cervical spondylosis, spinal cord adhesion arachnoid inflammation and other identification. Surgical treatment of this disease is briefly discussed in this article.