摘要
目的探讨脑胶质瘤病的临床、影像学特点及影响预后的因素。方法分析1例脑胶质瘤病的临床表现、影像学特点,同时对有关脑胶质瘤相关文献进行回顾复习。结果脑胶质瘤病临床表现多样,颅高压症状、癫痫、认知功能下降、肢体瘫痪是脑胶质瘤病常见的临床表现;所有病例在MRI上均侵犯2个或2个以上脑叶,以额叶、颞叶受累最多见,无脑结构的破坏,无明显占位效应;所检病例中12例在写作时已死亡,存活时间为1个月至7年;其中病变累及幕下及深部结构的9例存活时间<12个月。结论脑胶质瘤病临床表现多样,缺乏特异性;影像学检查尤其是MRI检查对疾病的诊断有重要意义;幕下及深部结构受累者可能预后较差。
Objective To study the clinical characteristics, imaging features and prognostics factors of gliomatosis cerebri. Methods The clinical characteristics, imaging features of a patient who suffered from gliomatosis cerebri was reported, and the literatures about gliomatosis cerebri were reviewed. Results There was a variety of clinical manifestations of gliomatosis cerebri including intracranial hypertension, epilepsy, change of cognitive functons and paralysis. Tu- mors involved at least 2 lobes of the brain in all patients, especially temporal lobe and frontal lobe, with no enhancement. Twelve cases died at the time of writing. The survival duration varies from 1 month to 7 years. Nine cases whose lesions involved the infratentorial structures or deep structures survived less than 12 months. Conclusion The clinical manifesta- tions of gliomatosis cerebri vary from each other and lack of specificity. Imaging of gliomatosis cerebri is very important to the diagnosis. Those whose lesions involve infratentorial structures or deep structures may have poor prognosis.
出处
《北京医学》
CAS
2015年第5期448-450,I0001,共4页
Beijing Medical Journal
关键词
脑胶质瘤病
临床
影像
预后
Gliomatosiscerebri Clinical Imaging Prognosis
