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丘脑胶质瘤位于脑深部,毗邻下丘脑、内囊、第三脑室等重要结构,具有独特的临床和影像特点,手术操作复杂、临床治疗困难,是神经外科比较棘手的疾病。现有手术入路包括经额、经顶、经颞、经顶枕脑室丘脑肿瘤切除术,经胼胝体前部、胼胝体后部脑室丘脑肿瘤切除术,经胼胝体穹窿间丘脑肿瘤切除术,经侧裂丘脑肿瘤切除术和经幕下小脑上丘脑肿瘤切除术等。本文就其临床表现、诊断和外科治疗情况加以综述。
Thalamic glioma is located in the deep brain, adjacent to the hypothalamus, the internal capsule, the third ventricle and other important structures, with unique clinical and imaging features, complex surgical procedures, clinical treatment is difficult to neurosurgical diseases. The existing surgical approach, including the amount by the top, by the temporal, by the top of the occipital ventricular thalamic tumor resection, through the front of the corpus callosum, the corpus callosum behind the ventromedial thalamic tumor resection through the corpus callosum dome thalamus tumor resection, Thalamic brain tumor resection and subtotal cerebellar hypothalamic tumor resection and so on. This article reviews its clinical manifestations, diagnosis and surgical treatment.