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VHL综合征1例

发布时间:2018-09-14 08:07
【摘要】:正病例男,42岁。因颅内占位切除术后13年,左侧小脑占位切除术后1年,发现椎管内占位1年就诊。患者13年前无明显诱因出现头痛伴恶心呕吐、呕吐后不缓解,CT提示"双侧小脑及椎管内占位",行颅内占位切除术。1年前患者再次出现上述症状,头颅MRI示"双侧小脑及椎管内占位"(图1a,1b)。患者行左侧小脑占位切除术,术后病检结果为"左侧小脑血管母细胞瘤(WHOⅠ级)"。全脊柱MRI提示"双侧小
[Abstract]:The patient was 42 years old. 13 years after intracranial mass resection and 1 year after left cerebellar mass resection, 1 year of intraspinal space occupation was found. The patient had no obvious cause of headache with nausea and vomiting 13 years ago. After vomiting, he did not relieve the "bilateral cerebellum and intraspinal space occupying," and underwent intracranial space occupying resection. The patient developed these symptoms again one year ago. Cranial MRI showed "bilateral cerebellum and intraspinal space occupation" (fig. 1 a 1 b). Patients underwent left cerebellar mass resection. The results of postoperative examination were "left cerebellar blastoma (WHO 鈪,

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