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原发性软脑膜恶性黑色素瘤少见,儿童更为罕见,国外已报导约100例,国内仅8例。 蔡×,女,13岁,头痛呕吐二月余于1982年11月8日住院。呕吐呈阵发性喷射状,约一日三次,头痛以前额为明显。不能独立行走,住院治疗中出现昏迷、尿失禁,左侧偏瘫,经脱水及激素治疗,15日恢复清醒,超声波检查中线波向左移位0.75cm,头颅正位片未见异常。右侧瞳孔扩大、颈硬、左侧膝反射似增强,右侧膝反射减弱,左侧巴彬斯基氏征(+)克匿氏征(+),两侧视神经乳头水肿。
Primary leptomeniocapillary malignant melanoma is rare, children are more rare, about 100 cases have been reported abroad, only 8 cases in China. Cai ×, female, 13 years old, headache and vomiting February February was hospitalized on November 8, Vomiting was paroxysmal jet-like, about three times a day, headache with the forehead was obvious. Can not walk independently, hospitalized in a coma, incontinence, left hemiplegia, dehydration and hormone therapy, 15 days to resume sober, ultrasound wave shift to the left 0.75cm, no abnormal skull anteroposterior film. Enlargement of the right pupil, stiff neck, left knee reflex seems to be enhanced, the right knee reflex decreased, left Babinski’s sign (+) Kevlar sign (+), both sides of the optic nerve head edema.