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为提高侧脑室脑膜瘤的诊治水平 ,对 11例侧脑室脑膜瘤患者的临床表现、影像学表现、手术结果等进行了分析。结果显示 ,首发表现为头痛 8例、癫痫发作 2例、反应迟钝 1例 ,眼底水肿及同向偏盲 10例 ;CT均示三角部高密度占位病灶 ,脑血管造影示脉络膜前动脉增粗、迂曲 ;11例肿瘤均行手术切除 ,随诊 9例效果良好。提示侧脑室脑膜瘤好发于右侧脑室三角部 ,具有病程长、早期症状不明显、定位体征较少、以纤维型脑膜瘤多见等特点。采用显微外科技术进行手术治疗 ,多能取得较好效果。
In order to improve the diagnosis and treatment of lateral ventricular meningiomas, the clinical manifestations, imaging findings and surgical findings of 11 patients with lateral ventricular meningiomas were analyzed. The results showed that the first performance was headache in 8 cases, 2 cases of seizures, 1 case of unresponsiveness, fundus edema and ipsilateral hemifacial blindness in 10 cases; CT showed high-density triangular lesions, cerebrovascular angiography showed thickening of anterior choroidal artery, Tortuous; 11 cases of tumors were surgically removed, followed up 9 cases of good results. Prompted lateral ventricle meningioma occur in the right lateral ventricle triangle, with a long course of disease, early symptoms were not obvious, fewer signs of location, with fibrovascular meningioma more common and so on. The use of microsurgery for surgical treatment, can achieve better results.