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我院2011年2月至2015年3月共完成脑膜瘤手术130例,其中病理发现3例为恶性脑膜瘤,本文通过文献资料复习,探讨恶性脑膜瘤的临床表现,影像学特征及治疗措施。1病例摘要患者1,男,42岁,突发头痛40天,伴恶心呕吐5天入院。查体:视神经乳头水肿,双侧肢体肌力5级,头部CT及磁共振回报右侧额叶窦廉旁脑膜瘤,肿瘤突入矢状窦,瘤内强化不均,有坏死,有囊泡,无明显钙化,大小约4cm×5cm×5cm,
Our hospital from February 2011 to March 2015 completed a total of 130 cases of meningioma surgery, of which pathological findings of 3 cases of malignant meningioma, this article review the literature to explore the clinical manifestations of malignant meningiomas, imaging features and treatment. 1 Case Summary Patient 1, male, 42 years old with sudden headache for 40 days, was admitted to hospital with nausea and vomiting for 5 days. Physical examination: optic papilla edema, bilateral limb muscle strength of 5, head CT and magnetic resonance reporting of the right frontal lobe sinus tumor, the tumor into the sagittal sinus, tumor uneven enhancement, necrosis, vesicles , No obvious calcification, the size of about 4cm × 5cm × 5cm,