论文部分内容阅读
脉络丛乳头瘤系良性肿瘤,好发于儿童,生长缓慢,多因分泌过多脑脊液并且阻塞室间孔引起颅内压增高症状而就医发现。治疗以手术切除为主,应尽可能做到全切除。我们报告1例单纯手术未能全切除后采用血管内栓塞治疗再全切除颅内巨大脉络丛乳头状瘤。1 病例 男,6.5岁,因头痛、呕吐,进行性视力障碍一年余入院。查体:神志淡漠,易激惹,头围明显增大,眼球纵向震颤,双眼黑蒙,双侧视乳头苍白,右侧锥体束征阳性。头颅CI示左侧大脑11cm×8cm大小占位性病变,约10个层面,高密度,边缘清楚而不规则,可见病理性钙化,左侧脑室消失,左侧皮质
Choroid plexus papilloma is a benign tumor, occurs in children, grow slowly, mostly due to the secretion of excessive cerebrospinal fluid and obstruction of the intercavity caused by increased intracranial pressure symptoms and medical treatment found. Surgical treatment of the main treatment, should be done as possible resection. We report a case of simple surgery failed to remove the use of endovascular embolization and then resection of intracranial giant choroid plexus papilloma. A case of male, 6.5 years old, due to headache, vomiting, progressive visual impairment more than one year admitted to hospital. Physical examination: indifference, irritability, head circumference increased significantly, the eye vertical tremor, dark eyes, both sides of the nipple pale, right pyramidal tract sign positive. Head CI showed the size of the left brain 11cm × 8cm size lesions, about 10 levels, high density, clear and irregular edges, visible pathological calcification, left ventricular disappearance of the left cortex