[斑块凸性超性脑膜瘤:来自单个中心的69例]
A V Kozlov1,2, K V Efremov1, M V Galkin1
1Burdenko Neurosurgical Center, Moscow, Russia.
Zhurnal voprosy neirokhirurgii imeni N. N. Burdenko
|February 5, 2025
概括
斑块性超性脑膜瘤的最佳手术治疗取决于瘤的大小和入侵程度. 小瘤从全切除中受益,而较大的瘤需要超静止切除和骨整形.
科学领域:
- 神经外科 神经外科
- 在瘤学瘤学.
- 神经病理学神经病理学
背景情况:
- 凸起的斑块性超性脑膜瘤很少见,以前仅报告了16例病例.
- 目前缺乏管理这些瘤的临床指南.
研究的目的:
- 确定影响外科手术结果的因素,用于斑块凸性超性脑膜瘤.
- 开发一个手术治疗的决策算法.
主要方法:
- 在2014年至2023年间进行手术治疗的69名患有斑块凸性脑膜瘤的患者的回顾性分析.
- 使用统计方法评估临床数据,手术策略和放射治疗结果.
主要成果:
- 完全切除小的,非透性脑膜瘤,而没有上斜鼻干涉,没有导致神经系统恶化.
- 对于涉及静脉鼻或大脑的大型透性脑膜瘤,非激进手术 (超静止切除) 取得了最佳结果,包括内高血压回归.
- 切除的程度没有影响无复发的存活率;伪阴茎瘤是最常见的并发症 (27.5%).
结论:
- 整体切除对于小的,非侵入性的凸性脑膜瘤是理想的.
- 在涉及静脉鼻腔或大脑组织的大脑膜瘤中,选择用扩展性骨整形切除高静止症.
相关概念视频
Cranial and Spinal Meninges
4.5K
The cranial and spinal meninges are complex protective structures surrounding the central nervous system (CNS), consisting of the brain and spinal cord. These meninges consist of the dura mater, the arachnoid mater, and the pia mater. They protect the CNS, provide structural support, and aid in circulating cerebrospinal fluid (CSF).
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
Cranial Meninges
These meningeal layers cover the cranium. The dura mater is the outermost layer of cranial meninges. It is a thick and durable membrane of dense...
4.5K
Aneurysm II: Clinical Manifestations and Diagnostic Studies
589
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
589
Viral Meningitis
199
Viral meningitis is the most common form of meningitis and is often referred to as aseptic meningitis to indicate the absence of bacterial involvement. It is generally milder than bacterial meningitis, with symptoms including fever, headache, stiff neck, drowsiness, nausea, photophobia, and vomiting. Rarely, more severe manifestations or death may occur. Common causative agents include enteroviruses, particularly coxsackie A and B viruses and echoviruses, all members of the Enterovirus genus...
199
Increased Intracranial Pressure l: Introduction
27
Intracranial hypertension is a sustained elevation of intracranial pressure (ICP) above 22 mm Hg. In supine adults, normal ICP is ~7–15 mm Hg.The rigid, nonexpandable cranium contains three components—brain tissue, blood, and cerebrospinal fluid (CSF)—that total ~1,700 mL in a typical adult: 1,400 mL brain (~80%), 150 mL blood (~10%), and 150 mL CSF (~10%). According to the Monro–Kellie doctrine, total intracranial volume is effectively fixed. When one component...
27
Increased Intracranial Pressure ll: Pathophysiology
20
Increased intracranial pressure (ICP) refers to a potentially life-threatening rise in pressure inside the skull. This usually happens when there is a major change in the volume of brain tissue, blood, or cerebrospinal fluid (CSF) — the three components inside the skull. According to the Monro-Kellie doctrine, if the volume of one component increases, the volumes of the other components must decrease to maintain normal pressure. If this does not happen, ICP rises.The process often begins...
20


