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儿童横纹肌样脑膜瘤是近年来报道的一种很少见的高度恶性肿瘤,具有易复发、病程进展迅速的特点,2000年WHO神经系统肿瘤的分类中,将其作为脑膜瘤的一个新的组织学变型而列出来(Ⅲ级)。笔者报道一例以头痛、呕吐伴抽搐为主要症状的该症患儿,其头颅CT表现为左额叶略高密度肿物,造影剂增强扫描后该肿物明显强化。全麻下行肿物切除术,术后病理诊断为横纹肌样脑膜瘤。术中、术后患儿病情平稳,该患儿及家属拒绝进一步治疗。目前,患儿随访2.5年未见复发征象。本文在回顾性分析该例患儿临床、影像及病理资料同时结合文献讨论了儿童横纹肌样脑膜瘤的诊断及治疗特点,以期提高对该病的认识。
Rhabdoid meningioma in children is a rarely seen in recent years, a high degree of malignancy, with easy recurrence, the rapid progression of the characteristics of the 2000 WHO classification of nervous system tumors, as a new meningioma tissue Learning variants listed (level Ⅲ). I report a case of headache, vomiting and convulsions as the main symptoms of the disease, the head CT showed a slightly higher density of the left frontal lobes, contrast enhanced contrast enhanced mass of the tumor was significantly enhanced. Under general anesthesia resection of the tumor, pathological diagnosis of rhabdomyotomy meningioma. Intraoperative and postoperative children with stable disease, the children and their families refused to further treatment. At present, no signs of recurrence are observed in children with a follow-up of 2.5 years. This retrospective analysis of this case of children with clinical, imaging and pathological data at the same time with the literature discussed the diagnosis and treatment of rhabdomyoid meningioma in children with the purpose of raising awareness of the disease.