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脑膜瘤是神经外科一种常见病,一般说手术治疗难度不大,但对二次手术以上的复发性脑膜瘤疗效多不满意,手术的难度也大得多。我院应用CO_2激光切除左顶枕部复发性巨大脑膜瘤一例,取得满意效果,现报告如下。病例:患者女性,64岁,以左顶枕部脑膜瘤切除并去骨瓣减压,局部呈复发性肿块突出半年收住。入院后检查:神志清,右眼颞侧偏盲,右鼻唇沟变浅,伸舌偏右侧,左顶枕部颅骨第一次手术切除8×8cm,可见5×5×1.5cm包块,张力高,触痛明显,无明显脑搏动。右侧肢体轻瘫,肌力Ⅳ级。腹壁反射,双侧膝、跟腱反射存在,霍夫曼氏征左(-)右(+),巴彬
Meningioma is a common disease of neurosurgery, generally speaking, surgical treatment is not difficult, but more than twice the efficacy of recurrent meningioma are not satisfied, the surgery is also much more difficult. Our hospital application of CO_2 laser excision of the left top of the occipital recurrent giant meningioma cases, and achieved satisfactory results, are as follows. Case: A 64-year-old female patient with a left top occipital meningioma resected and decompressive to the bony flap was partially recurred for six months. After admission examination: conscious mind, the right temporal hemianopsia, the right nasolabial fold shallow, right extensor tongue, the left top occipital skull first surgical removal of 8 × 8cm, visible 5 × 5 × 1.5cm mass, Tension high, tenderness obvious, no obvious brain beats. Right limb paralysis, muscle strength Ⅳ. Abdominal wall reflex, bilateral knee, Achilles tendon reflex, Hoffman’s left (-) right (+), Bin-bin