桥小脑角胶质瘤复习进程.ppt

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1、桥小脑角胶质瘤病例术前影像学病例术前影像学病例术前影像学病例术前影像学病例术前影像学病例术前影像学病例术前影像学病例全麻下行开颅左侧乙状窦后入路肿瘤切除术术中见肿瘤呈灰黄色，质地软，血供丰富，肿瘤与三叉神经、面听神经及后组颅神经均有粘连，肿瘤与周围脑组织无明显边界。显微镜下肿瘤全切，手术经过顺利。手术过程病例术后影像学病例术后影像学病例术后影像学病例术后病理病例术后颅神经症状文献病例Primaryglioblastomaofthecerebellopontineangleinadults.JNeurosurg114:1288–12

2、93,2011CASE1CASE1Cerebellopontineanglepilocyticastrocytomamimickingacousticschwannoma.Neuroradiology41:949–950,1999CASE1Cerebellopontineanglepilocyticastrocytomamimickingacousticschwannoma.Neuroradiology41:949–950,1999CASE2CASE2Cranialnerverootentryzoneprimarycerebell

3、opontineanglegliomas:arareandpoorlyrecognizedsubsetofextraparenchymaltumors.JNeu-rooncol49:205–212,2000CASE2Cranialnerverootentryzoneprimarycerebellopontineanglegliomas:arareandpoorlyrecognizedsubsetofextraparenchymaltumors.JNeu-rooncol49:205–212,2000CASE2Cranialnerve

4、rootentryzoneprimarycerebellopontineanglegliomas:arareandpoorlyrecognizedsubsetofextraparenchymaltumors.JNeu-rooncol49:205–212,2000CASE2Cranialnerverootentryzoneprimarycerebellopontineanglegliomas:arareandpoorlyrecognizedsubsetofextraparenchymaltumors.JNeu-rooncol49:2

5、05–212,2000CASE3CASE3Pediatricprimarypilocyticastrocytomaofthecerebellopontineangle:acasereport.ChildsNervSyst25:247–251,2009CASE3Pediatricprimarypilocyticastrocytomaofthecerebellopontineangle:acasereport.ChildsNervSyst25:247–251,2009CASE3Pediatricprimarypilocyticastr

6、ocytomaofthecerebellopontineangle:acasereport.ChildsNervSyst25:247–251,2009CASE4CASE4Primaryglioblastomaofthecerebellopontineangleinadults.JNeurosurg114:1288–1293,2011CASE4Primaryglioblastomaofthecerebellopontineangleinadults.JNeurosurg114:1288–1293,2011讨论CPA胶质瘤发病率Tri

7、geminalnerverootentryzonepilocyticastrocytomainanadult:ararecaseofanextraparenchymaltumor.JNeurooncol.201097(2):285-90讨论早期临床表现以病灶侧CN(V-XII)相关颅神经功能障碍为主，而很少伴有脑干或小脑相关症状有些此类病例甚至可出现内听道扩大征象由于肿瘤的相对恶性特征，此类患者的病程往往相对较短。本病例病程约半年，以三叉面听神经相关神经功能异常为主CPA胶质瘤临床表现讨论现有文献报道的CPA胶质瘤大多数为低级别，

8、以纤维型或毛细胞型星形细胞瘤为主少数病例则为高级别胶质瘤，此类病患预后差，术后生存时间<6个月CPA胶质瘤病理分型Primaryglioblastomaofthecerebellopontineangleinadults.JNeurosurg114