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1978年4月～1996年3月,我院收治侵入颅内的颅骨肿瘤(包括肿瘤样病变)14例,占同期颅内肿瘤患者的0.12％。均采用显微手术完整切除,疗效满意。现报告如下。1 临床资料 本组男8例、女6例;年龄9～65岁,平均23.4岁。肿瘤位于斜坡1例、鞍区1例、眶骨3例、蝶骨嵴2例、岩骨1例、后颅窝乳突1例、顶骨2例、颞骨2例、枕骨1例。颅底骨肿瘤患者主要表现为视力、听力障碍、中枢性面瘫、动眼及外展神经麻痹、眼球前突、头痛、呕吐及视乳头水肿等。颅顶、颞、枕部肿瘤患者主要表现为头痛、呕吐、视乳头水肿、偏瘫、癫痫、肢体活动不便及颅骨隆起等。本组11例摄颅骨X线片,10例行CT检查,6例行MRI检查。术前确诊12例,误诊2例。
From April 1978 to March 1996, 14 cases of intracranial cranial tumors (including tumor-like lesions) were admitted to our hospital, accounting for 0.12% of intracranial tumors in the same period. Microsurgical resection was performed with satisfactory results. The report is as follows. 1 Clinical data The group of 8 males and 6 females; aged 9 to 65 years, an average of 23.4 years. Tumors were located in 1 case on the slope, 1 in the sellar region, 3 in the sacrum, 2 in the sphenoid ridge, 1 in the petrous bone, 1 in the posterior cranial fossa, 2 in the parietal bone, 2 in the sacrum, and 1 in the occipital bone. The main manifestations of skull base bone tumors were visual acuity, hearing impairment, central facial paralysis, oculomotor and abducens nerve paralysis, ocular protrusion, headache, vomiting, and papilledema. The patients with craniocervical, sacral, and occipital tumors were mainly characterized by headache, vomiting, papilledema, hemiplegia, epilepsy, inconvenient limb movement, and skull uplift. In this group, 11 patients were photographed with X-rays of the skull, 10 patients underwent CT examination, and 6 patients underwent MRI examination. 12 cases were diagnosed before surgery and 2 cases were misdiagnosed.