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颅内硬膜下骨瘤1例

2018-03-17 佚名 中国医学影像学杂志

颅内硬膜骨瘤
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女，49岁。头部右侧受击，出现头晕、头痛，呈持续性胀痛，四肢肌力和肌张力正常。

【一般资料】

女，49岁。

【主诉】

头部右侧受击，出现头晕、头痛，呈持续性胀痛，四肢肌力和肌张力正常。

【辅助检查】

头颅CT平扫示左额叶不规则结节状高密度影，其周围片状低密度影环绕（图1A、B）；MRI示左额叶团片状异常信号，大小约3.1cm×3.4cm×2.9cm，以长T1WI、长T2WI信号为主，病灶周围未见异常信号水肿带（图1C）；MRI增强示病灶中央呈不规则结节状轻度强化（图1D~F）。



【初步诊断】

左侧额叶占位性病变，少突胶质细胞瘤。

【治疗】

患者行左侧额颞叶占位切除术，术中见病灶位于左额叶，呈半透明状的囊性变组织，边界清楚，为局部脑软化灶形成；囊腔内为明显钙化的肿瘤组织，大小约3.0cm×2.0cm×1.5cm，质硬，呈白色，边界清楚，未见大血管与瘤组织粘连紧密，完整切除囊内肿瘤组织。病理诊断：硬膜下骨瘤（主要为成熟板层骨，部分为碎骨、死骨，另见少许骨髓成分，图1G、H）。

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    2018-04-06 12498710m11暂无昵称

    #硬膜下#

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=2054149, encodeId=c4092054149df, content=<a href='/topic/show?id=39e8e362693' target=_blank style='color:#2F92EE;'>#硬膜下#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73626, encryptionId=39e8e362693, topicName=硬膜下)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f6142500060, createdName=12498710m11暂无昵称, createdTime=Fri Apr 06 18:56:00 CST 2018, time=2018-04-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=297351, encodeId=ee6529e35197, content=学习学习.不错的病例, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKibA62IFMeUJEmSyIe8DvYFeERuOsfrRd8iano7nENqQU1dRR3tqeQOUL3eqgYgEZRT2t2iaEsib0JEw/132, createdBy=66771693911, createdName=易水河, createdTime=Sun Mar 18 09:07:56 CST 2018, time=2018-03-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=297086, encodeId=f69b29e0869e, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmhead/Q3auHgzwzM6P57Bs8gOPaY1cQP9lIia0lmZOEXraGaoicqNToIslXDKw/0, createdBy=7a041951742, createdName=衣带渐宽, createdTime=Sat Mar 17 11:02:01 CST 2018, time=2018-03-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=297071, encodeId=339829e071dd, content=学习谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Nd44v3xHnnictn9UpctwtH62EPQ59TMdI9lnqHMgQ16nH7GmGCfpzicsHgjibYVk6vwSpXrC86gMibRkoaIzf5HwSz7/0, createdBy=78cc1691107, createdName=龙胆草, createdTime=Sat Mar 17 10:05:36 CST 2018, time=2018-03-17, status=1, ipAttribution=)]
    2018-03-18 易水河

    学习学习.不错的病例

    0

  3. [GetPortalCommentsPageByObjectIdResponse(id=2054149, encodeId=c4092054149df, content=<a href='/topic/show?id=39e8e362693' target=_blank style='color:#2F92EE;'>#硬膜下#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73626, encryptionId=39e8e362693, topicName=硬膜下)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f6142500060, createdName=12498710m11暂无昵称, createdTime=Fri Apr 06 18:56:00 CST 2018, time=2018-04-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=297351, encodeId=ee6529e35197, content=学习学习.不错的病例, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKibA62IFMeUJEmSyIe8DvYFeERuOsfrRd8iano7nENqQU1dRR3tqeQOUL3eqgYgEZRT2t2iaEsib0JEw/132, createdBy=66771693911, createdName=易水河, createdTime=Sun Mar 18 09:07:56 CST 2018, time=2018-03-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=297086, encodeId=f69b29e0869e, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmhead/Q3auHgzwzM6P57Bs8gOPaY1cQP9lIia0lmZOEXraGaoicqNToIslXDKw/0, createdBy=7a041951742, createdName=衣带渐宽, createdTime=Sat Mar 17 11:02:01 CST 2018, time=2018-03-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=297071, encodeId=339829e071dd, content=学习谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Nd44v3xHnnictn9UpctwtH62EPQ59TMdI9lnqHMgQ16nH7GmGCfpzicsHgjibYVk6vwSpXrC86gMibRkoaIzf5HwSz7/0, createdBy=78cc1691107, createdName=龙胆草, createdTime=Sat Mar 17 10:05:36 CST 2018, time=2018-03-17, status=1, ipAttribution=)]
    2018-03-17 衣带渐宽

    学习

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=2054149, encodeId=c4092054149df, content=<a href='/topic/show?id=39e8e362693' target=_blank style='color:#2F92EE;'>#硬膜下#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=68, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=73626, encryptionId=39e8e362693, topicName=硬膜下)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f6142500060, createdName=12498710m11暂无昵称, createdTime=Fri Apr 06 18:56:00 CST 2018, time=2018-04-06, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=297351, encodeId=ee6529e35197, content=学习学习.不错的病例, beContent=null, objectType=article, channel=null, level=null, likeNumber=91, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTKibA62IFMeUJEmSyIe8DvYFeERuOsfrRd8iano7nENqQU1dRR3tqeQOUL3eqgYgEZRT2t2iaEsib0JEw/132, createdBy=66771693911, createdName=易水河, createdTime=Sun Mar 18 09:07:56 CST 2018, time=2018-03-18, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=297086, encodeId=f69b29e0869e, content=学习, beContent=null, objectType=article, channel=null, level=null, likeNumber=84, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmhead/Q3auHgzwzM6P57Bs8gOPaY1cQP9lIia0lmZOEXraGaoicqNToIslXDKw/0, createdBy=7a041951742, createdName=衣带渐宽, createdTime=Sat Mar 17 11:02:01 CST 2018, time=2018-03-17, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=297071, encodeId=339829e071dd, content=学习谢谢分享, beContent=null, objectType=article, channel=null, level=null, likeNumber=90, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://wx.qlogo.cn/mmopen/mStl88fu4Nd44v3xHnnictn9UpctwtH62EPQ59TMdI9lnqHMgQ16nH7GmGCfpzicsHgjibYVk6vwSpXrC86gMibRkoaIzf5HwSz7/0, createdBy=78cc1691107, createdName=龙胆草, createdTime=Sat Mar 17 10:05:36 CST 2018, time=2018-03-17, status=1, ipAttribution=)]
    2018-03-17 龙胆草

    学习谢谢分享

    0

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