儿童幕下脉络膜丛肿瘤:病例报告及文献复习

Amanda de Oliveira López, Patricia Dastoli, João Gabriel Ribeiro Gomes, Jardel Mendonça Nicácio, Marcos Devanir Silva Da Costa, Sergio Cavalheiro
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引用次数: 0

摘要

背景:幕下脉络膜丛肿瘤在儿童中是罕见的病变。在诊断时,他们最常表现为颅内高压和颅神经缺损的迹象。手术的主要目的是完全切除,大多数情况下预后良好。病例报告:一个16岁的男孩,步态障碍,头痛和左侧耳聋被诊断为后窝肿瘤合并高血压脑积水。他接受了脑室-腹膜分流术的紧急放置和随后的显微手术和大体全切除。随访时,患者无症状,无缺陷。结论:小儿后窝肿瘤应纳入脉络膜丛肿瘤的鉴别诊断。术前规划、选择最佳手术入路、切断病变血管供应作为手术的第一步是成功治疗的基本策略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Infratentorial choroid plexus tumors in children: Case report and review of literature
Background: Infratentorial choroid plexus tumors are rare lesions in the pediatric population. At diagnosis, they most often present with signs of intracranial hypertension and cranial nerve deficits. The main objective of the surgery is total resection and the prognosis is favorable in most cases.Case Report: A 16-year-old boy with gait disturbance, headaches and left side hypoacusia had a diagnosis of posterior fossa tumor with hypertensive hydrocephalus. He underwent urgent placement of a ventriculoperitoneal shunt and subsequently microsurgery with gross total resection. At follow up, the patient was asymptomatic and without deficits.Conclusion: Choroid plexus tumors should be included in the differential diagnosis of posterior fossa tumors in childhood. Preoperative planning, choosing the best surgical approach and interruption of the lesion's vascular supply as the initial step of surgery are fundamental strategies for successful treatment.
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