论文部分内容阅读
本文报告枕骨大孔区肿瘤12例。其中,颅脊型4例,脊颅型8例。包括神经纤维瘤4例,脑膜瘤3例,脂肪瘤2例,星形细胞瘤、室管膜瘤及脊索瘤各1例。临床表现多有上颈神经根刺激症状。颅脊型常有后组颅神经症状以及轻度锥体束征,而脊颅型则以肢体瘫痪和感觉缺失为主。8例腰穿中7例显示有梗阻。12例CT扫描中11例发现肿瘤。另1例通过Amipaque造影证实诊断。本组均行手术治疗。颅脊型中2例全切除,2例部分切除。脊颅型中,4例髓外型均全切除,4例髓内型仅1例室管膜瘤应用CUSA全切除。术后1月内无死亡。作者对诊断、鉴别诊断和手术技术进行了讨论。
This article reports 12 cases of foramen magnum tumors. Among them, 4 cases of cranial ridge, 8 cases of spinal skull. Including 4 cases of neurofibroma, meningioma in 3 cases, lipoma in 2 cases, astrocytoma, ependymoma and chordoma in 1 case. Clinical manifestations of upper cervical nerve root irritation. Cranial spine often cranial nerve symptoms and mild pyramidal tract signs, and spinal skull-shaped limb paralysis and sensory loss-based. Obstruction was found in 7 of 8 patients with lumbar puncture. Tumors were found in 11 of 12 CT scans. Another case was diagnosed by Amipaque radiography. This group of patients underwent surgical treatment. 2 cases of craniofacial resection, 2 cases of partial resection. In the cicada, four cases of myeloid resection were resected, and only one case of ependymoma in 4 cases was excised with CUSA. No death within 1 month after operation. The authors discuss the diagnosis, differential diagnosis and surgical techniques.