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本文报导1例三脑室前部侧壁的海绵状血管瘤经双额开颅,半球间入路,终板切开完整切除并得到治愈的病例。患者,男、40岁,以多饮多尿、性机能低下及头痛半年入院。神经系统检查:视乳头无水肿,视力、视野正常。神经放射学检查头颅平片无异常,CT扫描:从左丘脑前部到第三脑室前部有一个边界清楚的边缘不整齐的高吸收区,有部分增强效应,诊断为异位松果体瘤,并且进行了放射治疗。总量为5000rad和ACNU等化学疗法。经两个月治疗,虽尿崩症消失,但CT扫描复查肿瘤影未见缩小,于出院后六个月的一天,突然头痛
This article reports a case of cavernous hemangioma in the anterior lateral wall of the third ventricle that was double craniotomy, an interhemispheric approach, and an end-plate incision that was completely resected and cured. The patient, male, 40 years old, was admitted to hospital with more than one drink and more urine, lower sexual function, and headache for six months. Nervous system examination: optic disc without edema, vision, normal vision. Neuroradiological examination showed no abnormalities in the cranial plain film. CT scan: There was a well-defined high-absorption marginal border from the anterior part of the left thalamus to the anterior part of the third ventricle. There was a partial enhancement effect and a diagnosis of ectopic pineal tumor. , and conducted radiation therapy. A total of 5000rad and ACNU and other chemotherapy. After two months of treatment, despite the disappearance of diabetes insipidus, CT scans showed no reduction in tumor shadows. On the six-monthly day after discharge, sudden headaches occurred.