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小儿颅脑肿瘤发病率较高,约占全身肿瘤的7%,仅次于白血病.由于临床表现多样,常易误诊.随着诊断技术的发展,确诊率大为提高.尤其是应用CT扫描技术、对小儿颅脑肿瘤的诊断更加明确.我院1984年7月～1991年6月应用CT扫描诊断小儿颅内肿瘤51例,报告如下.1 临床资料年龄:～3岁10例,最小者7个月;4～6岁7例;7～9岁16例;10～12岁18例.性别:男28例,女23例.男:女为1.2:1.临床表现:(1)颅内压升高表现为头痛、呕吐31例.其中以单纯性头痛、呕吐就诊者17例.3例为喷射状呕吐.头痛者有4例为晨起呕吐,吐后均有头痛减轻.(2)癫痫发作8例,病史数日至4年.3例为单纯性癫痫发作;3例为头痛、呕吐伴癫痫发作;2例癫痫合并偏瘫.(3)偏瘫6例.4例一侧肢体瘫痪伴深反射亢进及(或)巴彬斯基征阳性;2例偏瘫合并癫痫发作.(4)交叉性瘫痪10例、其中2例脑干桥脑肿瘤表现Foville综合征(病侧面神经麻痹,外展神经麻痹,对侧.肢体麻痹),1例gackson综合征(病侧舌神经麻痹.对侧肢体瘫痪).(5)共济失调10例.有明显的呕吐及头
The incidence of brain tumors in children is high, accounting for about 7% of systemic tumors, second only to leukemia.Because of various clinical manifestations, often misdiagnosed.With the development of diagnostic techniques, the diagnosis rate is greatly improved.Especially the application of CT scanning technology , The diagnosis of children with brain tumors more clearly.Our hospital from July 1984 to June 1991 CT diagnosis of 51 cases of children with intracranial tumors, the report is as follows.1 Clinical data Age: ~ 3 years old in 10 cases, the smallest 7 Months; 4 to 6 years in 7 cases; 7 to 9 years in 16 cases; 10 to 12 years in 18 cases. Sex: male 28 cases, female 23 cases. Male: female 1.2: 1. Clinical manifestations: (1) intracranial Elevated pressure showed headache, vomiting in 31. Among them, simple headache, vomiting were treated in 17 cases, 3 cases of jet-like vomiting.Headache in 4 cases of morning vomiting, vomiting have relieved headache. (2) Seizures in 8 cases, history of a few days to 4 years .3 cases of simple epileptic seizures; 3 cases of headache, vomiting with seizures; 2 cases of epilepsy with hemiplegia. (3) 6 cases of hemiplegia .4 cases of limb paralysis with one side Deep reflex hypersensitivity and / or Babinski sign positive; 2 cases of hemiplegia with seizures. (4) 10 cases of cross-paralysis, including 2 cases of brainstem pontine brain tumor Foville syndrome (facial paralysis, abduction Paralysis of the paralysis, paralysis of the limbs), 1 case of gackson syndrome (parakeratosis of the contralateral side), paralysis of the contralateral limb (5) ataxia in 10 cases, with obvious vomiting and head