在成年人中出现反复发作的脊髓瘤:一个病例报告
1Department of Neurosurgery, Shengli Oilfield Central Hospital, Dongying, China.
Case reports in neurology
|October 30, 2024
概括
破裂的骨膜瘤可以在成年人中引起. 通过手术切除这些罕见的脊柱瘤,患者的发作停止了,这突显了脊柱MRI对于诊断脊柱形病例中无法解释的的重要性.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 在瘤学瘤学.
背景情况:
- 脊柱瘤是罕见的,占脊柱瘤的0.2-0.5%.
- 圆中枢瘤通常不会引起,除非它们破裂,导致长膜囊内的化学刺激.
研究的目的:
- 报告一个与相关的成年骨膜瘤病例.
- 强调脊柱MRI在与脊柱形相关的不明原因发作的病例中的诊断实用性.
主要方法:
- 一名31岁的患者和疑似脊髓损伤的男性患者接受了脊髓成像.
- 诊断工作包括自身免疫性脑炎查和手术内发现.
- 病理学检查证实有一个状髓瘤.
主要成果:
- 脊柱核磁共振扫描显示,脊髓中存在一个占用空间的病变.
- 该患者的mGluR5抗体反应呈阳性,并接受了激素和免疫球蛋白治疗.
- 瘤的手术切除导致发作完全停止,在33个月的随访期间没有复发.
结论:
- 圆体内瘤破裂是成人发作的一个不常见的原因.
- 脊柱MRI对于脊柱形患者的早期诊断至关重要,这些患者有无法解释的症状.
- 及时和适当的治疗,包括手术干预,可以改善结果.
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