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Characteristics and treatment of meningiomas in children-reports of 12 cases and literature review
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- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF NEUROSURGERY
- Issue:
- 1
- DOI:
- 10.3760/j.issn:1001-2346.2007.01.005
- Key Word:
- 儿童;脑膜瘤;临床特点;治疗;预后
Abstract： 目的 研究儿童脑膜瘤的特点与治疗.方法 对12例儿童脑膜瘤结合文献进行了回顾性分析.结果 12例中,男女之比为2∶1;年龄1.5～15岁,平均11.5岁;颅内压增高是最常见的临床表现;大脑凸面5例,脑室内2例,矢状窦旁2例,大脑镰旁、枕骨大孔及脑实质内各1例;肿瘤最大径2～8 cm;12例全部行手术肿瘤全切除.病理诊断分别为内皮型2例、纤维型3例、混合型5例、血管瘤型和沙粒型各1例.术后无死亡,除1例术后脑积水行脑室腹腔分流术外,其他病例无术后并发症.经6-15年(平均6.5年)随访无肿瘤复发.结论 与成人相比,儿童脑膜瘤男性多于女性;癫痫发生率低;常合并多发性神经纤维瘤病;发生在脑室内和幕下的比例比较高,而矢状窦旁和大脑镰旁的发生率较低;钙化、囊性变和肿瘤出血发生率高.手术全切除是治疗儿童脑膜瘤的首选方法.
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