多发性神经鞘瘤1例

1　病历简介患者 ,女 ,10岁。出生后即发现外阴、胸壁包块 ,现因生长加快 1+ 年入院。 10年前 ,患者外阴、胸壁包块呈米粒大小 ,以后包块逐渐长大 ,但未突出于皮面 ,也无自觉症状 ,故未引起注意。 1+ 年前 ,包块生长加快 ,突出于皮面 ,左侧胸壁形成一 3ｃｍ大小椭圆形包块 ,右侧外阴形成一 2ｃｍ及 0 .5ｃｍ大小圆形包块 ,仍无任何自觉症状。家庭中无类似病史。入院后查体 :Ｔ :37.1℃ ,Ｐ :90次 分 ,Ｒ :2 0次 分 ,ＢＰ :15 9ｋＰａ ,心肺无异常。左侧胸壁皮下及右侧大阴唇中部、右下部各见一直径 3ｃｍ、2ｃｍ、0 .5ｃｍ包块 ,界清、质…     

椎管内神经鞘瘤12例诊治报告

目的 :明确椎管内神经鞘瘤的诊断和治疗。方法 :分析 1 2例椎管内神经鞘瘤的临床表现和 X线 ,脊髓造影 ,CT、MRI等影像学表现。结果 :经过 1～ 1 2年随访 ,1 0例患者治愈 ,2例患者术后 1～ 2年死亡。结论 :为防止漏诊及多发病变 ,对椎管内神经鞘瘤应进行详细的神经系统检查     

椎管内神经鞘瘤1例

1 病例摘要 患男,29岁,因腰痛6年伴双下肢肌无力、大小便困难2年,加重3月入院。6年前无明显诱因感腰痛,性质为间断性胀痛,无放射。当时未引起注意。2年前渐感双下肢行走无力,大小便困难,就诊于当地医院均以“腰椎间盘突出症”进行治疗,治疗后腰痛及双下肢无力反而加重。3月前已不能自行下地行走,并尿潴留,排便困难加重。就诊我院时体查:T_(11)、T_(12)压痛明显,双下肢肌肉     

眼眶内恶性神经鞘瘤2例

神经鞘瘤 (Ｎｅｕｒｉｌｅｍｏｍａ)是起源于神经鞘雪旺细胞的神经外胚叶肿瘤 ,多为良性。恶性神经鞘瘤是一种恶性程度较高的恶性肿瘤 ,发生在眼眶内较为罕见。我科近日收治 2例 ,现报告如下。1　临床资料　　患者 1,女性 ,12岁 ,因右下睑无痛性包块渐进性增大伴视力下降 1个月入院。查 :右眼视力 0 2 ,眶下缘外侧部可扪及一5ｃｍ× 3ｃｍ× 2 5ｃｍ的包块 ,边界不清 ,无压痛 ,累及球结膜及下穹隆部结膜。右眼球向外下及外上方运动受限 ,眼底正常。眼球突出度 :右眼 17ｍｍ ,左眼 13ｍｍ ,ＣＴ提示 :右眼下睑肿块 ,边界不清 ,ＣＴ值 64Ｈ…     

神经鞘瘤一例误诊分析

患者，男，４５岁。因左胸痛伴右下肢麻木半年，加重１周入院。半年前生气后左侧胸部针刺样疼痛伴右下肢麻木，每次疼痛持续约１０ｍｉｎ，伴气促、心悸。曾在附院以“冠心病”诊治。以后疼痛波及后背呈束带状且不超过中线，多为劳累后引发，且每次发作持续时间及间隔时间...     

巨大恶性胃壁神经鞘瘤1例报告

巨大恶性胃壁神经鞘瘤１例报告中国石油天然气总公司中心医院肿瘤科李金忠韩兴邦１．病例概况腹腔神经鞘瘤比较少见，瘤体较小，胃壁神经鞘巨大且恶变者更为罕见。我院收治１例，报告如下。患者女性，５６岁，农民，主因发现上腹部无痛性肿块７个月，进行性增大。开始为“...     

Intraspinal endometriosis: a case report

Ｅｎｄｏｍｅｔｒｉｏｓｉｓ (ＥＭ )ｉｓｄｅｆｉｎｅｄｂｙｔｈｅｐｒｅｓｅｎｃｅｏｆｔｉｓｓｕｅｈｉｓｔｏｌｏｇｉｃａｌｌｙａｎｄｆｕｎｃｔｉｏｎａｌｌｙｓｉｍｉｌａｒｔｏｔｈｅｅｎｄｏｍｅｔｒｉｕｍｏｕｔｓｉｄｅｔｈｅｕｔｅｒｕｓ ＥＭｈａｓｂｅｅｎｍｏｓｔｌｙｒｅｐｏｒｔｅｄｉｎｔｈｅｐｅｌｖｉｓ Ｉｎｔｒａｓｐｉｎａｌｅｎｄｏｍｅｔｒｉｏｓｉｓ (ＩＥＭ)ｉｓｓｏｒａｒｅｔｈａｔｏｎｌｙｆｏｕｒｃａｓｅｓｈａｖｅｂｅｅｎｒｅｐｏｒｔｅｄｉｎｔｈｅｌｉｔｅｒａｔｕｒｅ ,ｔｏｏｕｒｋｎｏｗｌｅｄｇｅ …     

Intraspinal endometriosis: a case report

Endometriosis (EM) is defined by the presence of tissue histologically and functionally similar to the endometrium outside the uterus. EM has been mostly reported in the pelvis. Intraspinal endometriosis (IEM) is so rare that only four cases have been reported in the literature, to our knowledge.1-4 Two years ago, a patient was admitted to the Second Affiliated Hospital of Lanzhou Medical College and was treated successfully (with 2 years of follow-up).     

Intraspinal clear cell meningioma： a case report

Clear cell meningioma (CCM) is a recently described histologic subtype of meningiema. It has an aggressive clinical behavior, and is prone to local recurrence and distant metastasis. The most common locations of the tumor are the spinal canal and the cranial posterior fossa. We present a case of typical clear cell meningioma in the cauda equina detected by magnetic resonance imaging (MRI) and microscopy,     

大剂量甘露醇治疗癌性颅内高压症1例

1 临床资料患者、女性、38岁、因右小细胞肺癌术后16 mo,间断性头痛10 mo,加重1 wk后于2003-01-01入院.在2002-02因枕部疼痛,行头颅CT示: 脑多发转移癌.行多次头颅局部X-刀、γ-刀加全脑预防性放疗和化疗,疗效达部分缓解.2002-12末头痛症状复发,约1.5 h发作1次,伴短暂意识丧失、喷射状呕吐和四肢抽搐.     

Intraparotid facial nerve schwannoma: a case report

Schwannoma in the head and neck region is very rare. The tumour occurring in the intraparotid facial nerve is even rarer. A patient presenting with a parotid swelling with facial nerve paralysis is not pathognomonic of a facial nerve schwannoma. However it may occur because enlargement of the parotid, by any kind of tumour especially a malignant one can cause facial nerve paralysis. We report a case of an intraparotid facial nerve schwannoma, in a patient who presented with parotid enlargement and facial nerve paralysis.     

Primary hyperparathyroidism presenting with severe hypertension in a middle aged Nigerian--a case report

OBJECTIVE: To draw attention to primary hyperparathyroidism as a cause of severe hypertension. RESULTS: A 47 year old Nigerian male presented with headache, occasional blurring of vision and dyspnoea on mild exertion of 2/12 duration. He had been troubled by painful osteoarthritis of the knees for 2 years for which he was taking NSAIDs. He was found to be severely hypertensive, BP 210/130mmHg and had bilateral knee crepitus. BP was resistant to control on Nifedipine R and Moduretic. Serum urea, creatinine, uric acid were normal but there was hyperacalcaemia and hyperchloraemia. Haematological indices, urinalysis, microscopy and culture of urine were normal. Parathyroid hormone level was raised. A parathyroid MIBI scan study showed an extensive area of significance towards the inferior pole of the right lobe of thyroid medially with a second area of very low significance medial to the left pole. These findings indicated the presence of a right inferior parathyroid adenoma. He had parathyroid surgery and a large adenoma in the right inferior gland and a smaller left inferior gland were removed and confirmed histologically. Corrected calcium and parathyroid hormone levels dropped to normal, and the BP was easily controlled with Lisinopril 5mg daily subsequently. He is not currently on antihypertensive medication two years post surgery. CONCLUSION: This case highlights the need for thorough investigation of cases of hypertension to exclude specifically secondary causes, which in some cases may be endocrine in origin and may easily be corrected.     

A case report of intracranial vertebral-basilar artery hypoplasia presenting with episodic dizziness

Basilar artery hypoplasia (BAH) is usually accompanied with unilateral vertebral artery hypoplasia (VAH); however, BAH with bilateral VAHs composing vertebral-basilar artery hypoplasia (VBAH) is indeed a rare curiosity. A 61-year-old woman presented with episodic dizziness for ten years. It accompanied with headache, bilateral tinnitus and blurred vision. Time-of-flight magnetic resonance angiogram with T2 true fast imaging in steady state precession confirmed the VBAH, rather than a stenosis. Symptoms subsided after daily oral aspirin and life-style change has been recommended for three months. The following one year was uneventful, and hearing improved. Finally, we conclude that the episodic dizziness with sensori-neural hearing impairment might attribute to the VBAH. It appears that life-style change was the main therapy and the antiplatelet was simply a supplementary one.     

髓内神经鞘瘤1例报告并文献复习

目的:探讨髓内神经鞘瘤的临床表现、起源、影像学表现及鉴别诊断。方法:回顾性分析经手术病理证实的颈髓髓内神经鞘瘤的MRI表现及文献复习。结果:髓内神经鞘瘤好发于颈髓,T1WI呈等或稍低信号,T2WI呈等或稍高信号,信号多均匀,边界清楚,可伴有脊髓水肿和脊髓空洞,增强扫描肿瘤明显均匀强化。结论:髓内神经鞘瘤的影像学表现具有一定的特征性,诊断需结合病理学和免疫组化检查。