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1病历摘要女,17岁。右上肢麻木2个月,突发癫疒间1d入院。神经系统查体未见明显阳性体征。MRI示左扣带回占位,呈略低信号,形状不规则(图1A);CT示占位强化不均匀(图1B)。术前诊断:脑胶质细胞瘤。左额开颅行胼胝体穹隆间入路占位切除术。术中见肿物位于扣带回皮质下0.5cm处,大小4cm×3cm×1cm,呈灰白色,边界清,质硬,内有钙化,血供中等;镜下分块全切。术后病人恢复良好。病理结果:脑膜瘤,纤维型(图1C)。
1 medical record summary female, 17 years old. Right upper limb numbness 2 months, sudden epilepsy 1d admission. Nerve system examination showed no significant positive signs. MRI showed a left cingulate gyre with a slightly lower signal and irregular shape (Figure 1A). The CT showed a non-uniform enhancement of the staging area (Figure 1B). Preoperative diagnosis: glioblastoma. Left forehead craniotomy transposition of the corpus callosum interposal space-occupying. Surgery, see the tumor located in the cingulate cortex 0.5cm at the size of 4cm × 3cm × 1cm, was gray, the border clear, hard, with calcification, blood supply medium; After the patient recovered well. Pathological findings: Meningiomas, fibroids (Figure 1C).