10例松果体区脑膜瘤的手术治疗

• 作 者: 孟祥海
• 出 处: 国外医学.神经病学神经外科学分册
• 发表日期: 1997年03期
• 关键词: 松果体区 脑膜瘤 肿瘤供血 大脑镰 动脉供血 动脉造影 四叠体池 手术时间 静脉系统 运动障碍

1987～1994年,10例松果体区脑膜瘤(占同期164例松果体区肿瘤的6.2％,3061例同期组织学证实脑膜瘤的0.3％)。10例均为成人(平均52岁,41～60岁),多数为女性(女:男为7:3)。病史3～36个月,平均18个月。临床症状和体征主要为运动障碍和眼征异常。7例作动脉造影,显示典型的四叠体区“脑膜瘤染色”,4例肿瘤供血来源于天幕,1例显示脉络膜动脉供血,2例似乎无硬膜供血,而术中发现肿瘤与大脑镰相联。CT显示松果体区明显均一强化占位,所有病例

From 1987 to 1994, 10 cases of meningioma in the pineal region (accounting for 6.2% of 164 cases of pineal region tumors in the same period and 0.361% of 3061 cases of histologically confirmed meningiomas). All 10 patients were adults (average 52 years old, 41-60 years old), mostly female (male: male 7: 3). History of 3 to 36 months, an average of 18 months. The main clinical symptoms and signs of dyskinesia and eye abnormalities. Seven patients underwent arterial angiography, which showed “meningioma staining” in the typical quadruplex region. Four of the tumors came from the canopy, one showed choroidal artery blood supply, and two did not appear to have a dura mater blood supply. However, tumors and falx were found Associated. CT showed significantly more mass in the pineal area, all cases