[Hemangiopericytoma of the meninges].
[Hemangiopericytoma of the meninges].
复制标题
[脑膜血管外皮细胞瘤]。
DOI：
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发表时间：
1983
期刊：
影响因子：
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通讯作者：
F. Matsubara
中科院分区：
文献类型：
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作者：
H. Ito;T. Hasegawa;H. Kawano;K. Shoin;S. Yamamoto;F. Matsubara
一位44岁的农民主诉视力模糊和近期记忆障碍。在他驾驶汽车的过程中，由于他的右侧同向偏盲发生了交通事故。第1次入院时，神经系统检查显示椎间盘阻塞（1 D.），偏盲、记忆障碍、计算障碍、阅读障碍和书写障碍。血管造影显示供血动脉来自左侧大脑中动脉和大脑后动脉。动脉期肿瘤血管呈螺旋状，晚期静脉期肿瘤阴影均匀。增强CT扫描显示枕部结节状均匀高密度病变。每次开颅术中出血过多，无法取出，最后转移至左侧II肋和右侧VIII肋及右侧桡骨。其组织学检查显示大量内皮内衬的血管通道和肿瘤细胞的有丝分裂。银浸渍显示毛细血管和肿瘤细胞周围的网状纤维网络。脑膜血管外皮细胞瘤形成实体，我们的病例报告WHO分类。必须通过激光（通过受激辐射进行光放大）一次彻底清除。
A 44-year-old farmer complained blurred vision and disturbance of recent memory. During his driving car traffic accident happened due to his right homonymous hemianopsia. On the 1st admission, neurological examination revealed choked disc(1 D.), hemianopsia, memory disturbance, dyscalculia, dyslexia and dysgraphia. The angiograms showed feeding arteries from left middle cerebral artery and posterior cerebral artery. Tumor vessels looked like cork-screw in the arterial phase and homogeneous tumor shadow was depicted in late venous phase. Contrast enhancement CT scan revealed a nodular homogeneous high dense lesion on the occipital region. Hemorrhage during every craniotomy was too much to remove and at last metastasized to left II rib and right VIII rib and right radius. Their histological examination reveals numerous endothelial-lined vascular channels and atypia of tumor cells with mitoses. Silver impregnation demonstrates networks of reticulum fibers surrounding the capillaries and tumor cells. Hemangiopericytoma in meninges forms entity and our case reports the WHO classification. Total removal should have to be done once for all by means of LASER (light amplification by stimulated emission of radiation).