He Xiaosheng, Professor of surgery for patient tracking meningioma therapy – Sohu health-www.jkggg.net

He Xiaosheng, Professor of surgery in patients with tracking: meningioma treatment – Sohu health of patients with lateral ventricular meningioma resection, female, 29. Chronic headache for one year. MRI of the head: the right ventricle triangle area of circular position, obviously uniform enhancement, the boundary is clear, the peripheral mild occupation effect, no hydrocephalus formation. Diagnosis: right ventricle tumors (meningiomas) surgical approach: right ventricle trigone approach ventricular tumor resection: small incision of the cortex into the ventricle trigone, tumor Fuchsia, surface blood vessels, tumor physical toughness, tumor and choroid plexus closely linked, visible choroid plexus significantly enlarged vessels the supply of tumor. Total tumor resection. After 3 months images review: MRI showed total resection of tumor. Postoperative neurological function: good postoperative pathological analysis: meningioma: meningioma is the most common benign tumor of the brain ventricle, ventricular tumors may also have choroid plexus papilloma malignant ependymoma, astrocytoma, and, after three of them belong to glioma. Intraventricular tumor, due to the cerebrospinal fluid filled with intraventricular, with the growth of the tumor, intracranial pressure can be squeezed out of the cerebrospinal fluid mechanism, and maintain stability. Therefore, the intracranial pressure in patients with advanced significantly increased, early patients with no headache and other intracranial pressure increased performance, easy to be ignored missed diagnosis; many patients were found in the routine examination of ventricular tumors. In this case, meningiomas are benign and should be completely removed in order to avoid or reduce the recurrence of the tumor. With the expansion of the meningioma, the boundary is clear and the blood supply is abundant, the enhancement of the imaging examination is very obvious. Early detection of the tumor, early minimally invasive surgery, a small impact on the patient, surgical sequelae light. During the operation, the blood vessels of the surface of the tumor were reduced, and the bleeding of the tumor was removed. At the same time, the tumor was referred to, and the tumors were cut into pieces. With the aid of the technology of cerebral ventricle navigation, CUSA navigation, combined with electric knife, and so on, it will be more convenient to stop and resect the tumor. It should be noted that, after the complete resection of the tumor, the cerebral cortex is obviously collapsed, which can easily result in postoperative epidural hematoma and subdural hematoma. During the operation, the outflow rate of cerebrospinal fluid should be slowed down. After the operation, the patient’s vital signs and neurological function should be closely observed, and the skull CT should be examined in time. In short, regular check, pay attention to the nervous system abnormalities, or as soon as the increased intracranial pressure imaging headache, timely review of the CT or MRI. Ventricular tumor, surgical resection should be done as soon as possible.相关的主题文章: