中央区脑膜瘤43例临床分析
【摘要】目的探讨中央区脑膜瘤临床特征。方法回顾性地总结43例手术治疗的中央区脑膜瘤病人的一般特征、临床表现、影像学表现、手术并发症及近期治疗结果,并与同期手术治疗的非中央区大脑凸面脑膜瘤的临床表现和主要手术并发症进行对比。结果中央区脑膜瘤病人的临床表现以头晕、局限性运动性癫痫和一侧或单肢肌力减退多见,癫痫(P=)和肌力减退(P=)的发生率明显高于非中央区凸面脑膜瘤。中央区脑膜瘤手术并发症主要是对侧肢体肌力减退,其发生率明显高于其他部位的凸面脑膜瘤(P=)。结论中央区脑膜瘤是一种特殊类型的大脑凸面脑膜瘤,这种脑膜瘤本身及手术易造成运动区皮层的损伤。
【关键词】中央区脑膜瘤;临床特征
[Abstract]ObjectiveTo study the clinical features of paracentral data of 43 patients with paracentral meningioma were retrospectively analyzed ,including patient's general features, clinical presentations, imaging findings, plications and .The clinical presentations and primary plication in patients with paracentral meningioma pared with those in patients with other convexity presentations of dizzy , Jacksonian seizure and limb paralysis were mostly seen in patients with paracentral meningioma . The incidences of seizure(P=)and limb paralysis(P=)in patients with paracentral meningioma were significantly higher than those in patients with other convexity meningioma .The primary plication in patients with paracentral meningioma was movement disorder of contralateral limb .The incidence of the movement disorder in patients with paracentral meningioma was significantly higher than that in patients with other convexity meningioma(P=).ConclusionThe paracentral meningiomas is different from other conve
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