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侧裂深部脑膜瘤罕见,术前确诊亦难,作者报告两例,并结合文献进行讨论。例1女,27岁,因头痛10个月,视力障碍4个月于1952年5月19日入院,检查发现双侧视乳头水肿,右中枢性面瘫,脑室造影提示左侧蝶鞍旁肿瘤。5月31日行左额开颅,鞍旁未见肿瘤,但发现肿瘤位左颞皮质下,行部分切除,组织学诊断为脑膜瘤。6月18日再次手术,切口延至左颞区,切开颞叶皮质,将肿瘤余下组织分块切除,肿瘤不与硬脑膜相连。术后出现右侧偏瘫,7月12日出院时偏瘫未恢复,1957年11月16日死亡。
Lateral fissure meningioma is rare, and it is difficult to confirm the diagnosis before surgery. The author reported two cases and discussed the literature. Example 1 Female, 27 years old, with a headache of 10 months, 4 months of visual impairment admitted to hospital on May 19, 1952, examination revealed bilateral papilledema, right central facial paralysis, intraventricular angiography prompted the left parasellar tumor. On May 31, the left frontal craniotomy was performed. There was no tumor near the saddle. However, it was found that the tumor was located in the left subcortex and was partially resected. The histological diagnosis was meningioma. On June 18, the operation was performed again. The incision was extended to the left temporal area. The temporal cortex was incised and the remainder of the tumor was removed and the tumor was not connected to the dura. Right hemiplegia occurred after surgery, and hemiplegia did not recover when he was discharged on July 12 and died on November 16, 1957.