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目的探讨硬膜外脊膜瘤的发病机理、临床表现、诊断治疗和预后中的一般规律。临床资料总结6例硬膜外脊膜瘤患者的临床资料并相关文献复习。6例病人临床表现为多种神经功能障碍,MRI可见椎管内硬膜外“匍匐”形生长肿物影,并呈“C”形包裹硬膜囊。分别对其行肿瘤近全或全切术,组织学诊断为:脊膜瘤。经随访1例术后复发。结论硬膜外脊膜瘤是一种少见的特殊类型的脊膜瘤,呈良性,需手术治疗,但远期复发不能除外。
Objective To investigate the pathogenesis, clinical manifestation, diagnosis, treatment and prognosis of epidural medulloblastoma. Clinical data of 6 cases of epidural medulloblastoma clinical data and literature review. The clinical manifestations of 6 patients were various neurological dysfunctions. MRI showed intraspinal epidural “creeping” shaped tumor and “C” shape wrapped dural sac. Respectively on their line of tumor or total resection, histological diagnosis as: meningioma. Follow-up 1 case of recurrence. Conclusion Epidural meningioma is a rare and special type of meningioma, which is benign and requires surgical treatment, but long-term recurrence can not be excluded.