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脑干肿瘤117例临床分析及误诊原因探讨
引用本文:郭洪志,李明欣,李义召. 脑干肿瘤117例临床分析及误诊原因探讨[J]. 山东大学学报(医学版), 1996, 0(3)
作者姓名:郭洪志  李明欣  李义召
作者单位:山东医科大学附属医院神经内科
摘    要:脑干肿瘤117例,入院初诊为本病仅6例,111例诊断不确切或误诊。这与脑干肿瘤多见于青少年,和传统的发病年龄观点不同;多缓慢起病,进行性加重;以及典型的占位效应出现较晚等有关。颅脑CT扫描易漏诊脑干肿瘤;腰穿检测及脑室造影对早期诊断无甚意义,MRI有助于诊断。本病需与脑干脑炎、脱髓鞘疾病、椎基底动脉供血不足等相鉴别

关 键 词:脑干;肿瘤,神经组织;误诊

CLINICAL ANALYSIS ON MISDIAGNOSIS IN 117 CASES OF BRAINSTEM TUMOR
Guo Hongzhi ,Li Mingxin, Li Yizhao,et al. CLINICAL ANALYSIS ON MISDIAGNOSIS IN 117 CASES OF BRAINSTEM TUMOR[J]. Journal of Shandong University:Health Sciences, 1996, 0(3)
Authors:Guo Hongzhi   Li Mingxin   Li Yizhao  et al
Affiliation:Dept. of Neurology. the Affiliated Hospital of Shandong Medical University
Abstract:One hundred and seventeen patients with brainstem tumor were studied. 6 cases were diagnosed at first visit to hospital, 111 cases were diagnosed undefinitely or misdiagnosed. This was relevant to that brainstem tumor was commonly seen in juvenile, different from traditional idea of morbid age, chronic onset and progressive course, and typical mass effect appeared late, etc. It was difficult to diagnose brainstem tumor with brain CT scanning. Lumbar puncture and ventriculography were not help for early diagnosis. But MRI was valuable in diagnosis. This disease needs to be distinguished from brainstem encephalitis, demyelinating diseases and vertebral-basilar artery ischemic attack,etc.
Keywords:Brain stem  Neoplasms  nervous tissue  Diagnostic errors
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