论文部分内容阅读
临床资料本组共6例均经CT扫描和/或脑室造影证实为脑干肿瘤,其中男1、女5,年龄6～20岁,发病至住院期间15～70天。症状主要为走路不稳、构音不清、复视,头晕,呕吐、呛咳。神志除1例嗜睡外均清楚,言语含糊4例,2例伴声音嘶哑,颅神经以眼肌麻痹、角膜反射迟钝、面瘫、眼震、吞咽障碍为主,四肢或偏侧肢体肌力减退、共济失调、病理反射阳性,2例偏身疼觉减退,3例脑脊液检查未见异常,3例脑电图检查2例正常、1例广泛轻度异常,3例行CT扫描,2例行脑室造影,1例先后作了上述二种检查,CT扫描主要表现脑干区低密度阴影,有的伴脑池脑室改变,脑室造影主要表现导水管向后向上移位,有的伴脑室改变。住院后均用氟美松、ATP、辅酶A等治疗,症状渐加重,1例住院期间死亡。
Clinical data of this group a total of 6 cases were confirmed by CT scan and / or intraventricular angiography as brain stem tumors, male 1, female 5, aged 6 to 20 years old, onset to 15 to 70 days during hospitalization. The main symptoms of walking instability, articulation, diplopia, dizziness, vomiting, choking. Consciousness in addition to 1 case of lethargy are clear, verbal ambiguity in 4 cases, 2 cases with hoarse voice, cranial nerve ophthalmoplegia, corneal reflex, facial paralysis, nystagmus, swallowing disorders, limbs or hemiplegia muscle weakness, Ataxia, pathological reflex, 2 cases of partial body pain decreased, 3 cases of cerebrospinal fluid examination showed no abnormalities, 3 cases of EEG normal 2 cases, 1 case of extensive mild abnormalities, 3 cases of CT scan, 2 cases Ventriculography, one case has made the above two kinds of examination, CT scan mainly shows the low density of the brain stem shadow, and some with cisterna ventricular changes, ventriculography mainly manifested aqueduct backward upward shift, and some with ventricular changes. After hospitalization with flumethasone, ATP, coenzyme A and other treatment, the symptoms gradually increased, 1 patient died during hospitalization.