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室管膜下巨细胞星形细胞瘤为一常与结节性硬化合并存在的颅内胶质瘤比较罕见。我室经CT扫描发现1例,并经手术、病理证实,现报告如下。患者.男,11岁。双上肢抽搐7年,头痛伴呕吐2年。智力差,近2年来出现头痛呕吐,并见面部红色丘疹。近2个月头痛呕吐加重。无类似家族史。体检:神志清楚,精神可,智力稍差。面及鼻翼旁见密集红色斑丘疹呈蝶形分布。双眼底视乳头水肿明显。四肢肌力、肌张力正常,病理反射未引出。头颅平片:未见异常。化验检查:肝功HBsAg~([+])。脑脊液脑压4.1kPa:细胞数4个,潘氏试验(+++),糖2.8mmol/L,蛋白0.2～0.4g/L,氯化物189
Subependymal giant cell astrocytoma is often associated with tuberous sclerosis combined intracranial glioma is relatively rare. I room by CT scan found in 1 case, and after surgery, pathology confirmed, are as follows. Patient. Male, 11 years old. Double upper extremity convulsions for 7 years, headache with vomiting for 2 years. Poor intelligence, headache and vomiting in the past 2 years, and facial red papules. Headache and vomiting increased in the past 2 months. No similar family history. Physical examination: conscious, mental, intelligence is slightly worse. Side and nose to see dense red rash showed butterfly-shaped distribution. Binocular papilledema obvious. Limb muscle strength, muscle tone normal, pathological reflex did not lead. Flat head skull: no abnormalities. Laboratory tests: liver function HBsAg ~ ([+]). Cerebrospinal fluid pressure 4.1kPa: cell number 4, Pan test (+++), sugar 2.8mmol / L, protein 0.2 ~ 0.4g / L, chloride 189