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我院2007年4月至2008年9月收治3例镰旁矢状窦旁巨大脑膜瘤患者,采用显微外科手术切除效果良好,报告如下。例1女,45岁,因左侧肢体活动不利5年,被人发现意识不清5h入院。查体:嗜睡状,颅神经检查无异常,左侧肢体肌张力高,肌力Ⅳ级,病理征阳性。入院时头颅CT提示右顶叶混杂密度灶,周围低密度水肿带,基底池及三、四脑室消失,中线结构左移。入院后头颅增强MRI提示右侧额顶部上矢状窦旁脑膜瘤,大小约6.6cm×6.5cm×6.0cm,肿瘤突破
Our hospital from April 2007 to September 2008 were treated 3 cases of parasagittal giant meningioma next to the patient, the use of microsurgery resection effect is good, the report is as follows. Example 1 Female, 45 years old, due to unfavorable activities of the left limb for 5 years, was found unconsciousness 5h admission. Physical examination: lethargy, no abnormal cranial nerve examination, left limb hypertrophy, muscle strength grade Ⅳ, positive pathological signs. Head CT on admission prompted the right parietal mixed densitization, around the low-density edema zone, the basal cistern and three or four ventricle disappeared, the left shift of the midline structure. After admission, head enhanced MRI showed that the right superior frontal sagittal sinus meningioma, the size of about 6.6cm × 6.5cm × 6.0cm, tumor breakthrough