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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 investigate the clinical features, imaging features and prognostic factors of gliomatosis. Methods One case of gliomatosis was analyzed with its clinical manifestations and imaging features. At the same time, the related literature about glioma was reviewed and reviewed. Results The clinical manifestations of gliomatosis were diverse, the symptoms of epistaxis, decreased cognitive function and limb paralysis were common clinical manifestations of gliomatosis. All cases had violations of two or more lobes on MRI, The frontal lobe and temporal lobe involvement were the most common, without brain damage. There were no significant mass-bearing effects. Among the 12 cases examined, 12 cases died at the time of writing and survived from 1 month to 7 years. Among them, Nine of the patients survived <12 months. Conclusion The clinical manifestations of gliomatosis are diverse and lack of specificity. Imaging examination, especially MRI examination, is of great significance in the diagnosis of the disease. The patients with infratentorial and deep structures may have poor prognosis.