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脑膜癌病系软脑膜弥漫性播散或多数局灶性浸润所引起的癌细胞转移,是一种非独立的疾病。现将我们于1986～1996年经临床病理及脑脊液细胞学检查诊断脑膜癌病7例报告如下。 临床资料 一、一般资料:本组7例,男3例,女4例。年龄21～67岁,平均年龄43.8岁。发病到确诊时间,最短15天,最长7个月。既往患肺癌1例,宫颈癌1例。 二、临床表现:头痛6例,呕吐5例,意识模糊1例,浅昏迷1例,淡漠、反应迟钝3例,癫痫样抽搐1例,复视2例,轻偏瘫1例。视神经乳头水肿3例,其中伴视网膜出血1例。动眼神经麻痹1例,面神经麻痹1例,双下肢疼痛1例。脑膜刺激征阳性5例,双侧病理征阳性2例。
Meningioma is a non-independent disease caused by diffuse spreading of the dura mater or cancer metastasis caused by most focal infiltration. Now we from 1986 to 1996 by clinical pathology and cerebrospinal fluid cytology diagnosis of meningeal cancer in 7 cases are reported below. Clinical data First, the general information: The group of 7 patients, 3 males and 4 females. Age 21 to 67 years, mean age 43.8 years old. The onset to the time of diagnosis, the shortest 15 days, up to 7 months. Past history of lung cancer in 1 case, cervical cancer in 1 case. Second, the clinical manifestations: headache in 6 cases, vomiting in 5 cases, 1 case of confusion, shallow coma in 1 case, apathetic, unresponsive in 3 cases, epileptic convulsions in 1 case, diplopia in 2 cases, 1 case of hemiparesis. 3 cases of optic nerve head edema, including retinal hemorrhage in 1 case. 1 case of oculomotor nerve paralysis, 1 case of facial paralysis, 1 case of lower extremity pain. Meningeal irritation positive in 5 cases, bilateral pathology positive in 2 cases.