查詢結果分析
來源資料
相關文獻
- Thalamic Tuberculoma Mimicking a Malignant Brain Tumor
- 兒童視神經路徑膠質細胞瘤的介紹與治療進展
- Hypothalamic Juvenile Pilocytic Astrocytoma Presenting with Intracerebral Hemorrhage
- Hypothalamic Dysfunction in Acute Head-Injured Patients with Stress Ulcer
- Effects of Gamma Knife Radiosurgery for Brain Tumors: Clinical Evaluation
- 腫瘤的腦部轉移及其處理
- Postoperative Radiotherapy of Adult Supratentorial High-grade Astrocytoma
- 天麻活性成分對位羥基苯醇改善學習記憶作用與下視丘-腦下垂體-腎上腺軸之關係
- Linear Branching Echogenicities in the Basal Ganglia and Thalami
- Adenosine對於大白鼠攝食行為及下丘中神經元活性之影響
頁籤選單縮合
題 名 | Thalamic Tuberculoma Mimicking a Malignant Brain Tumor=表現出惡性腦瘤象徵之視丘結核 |
---|---|
作 者 | 林宏霖; 陳榮宗; 劉羽芳; 周德陽; | 書刊名 | 中臺灣醫學科學雜誌 |
卷 期 | 11:2 民95.06 |
頁 次 | 頁122-127 |
分類號 | 416.291 |
關鍵詞 | 腦瘤; 顱內結核; 視丘; Brain tumor; Intracranial tuberculoma; Thalamus; |
語 文 | 英文(English) |
中文摘要 | Tuberculomas can occur at any site in the brain. In endemic areas of tuberculosis, intracranial tuberculomas account for 5% to 30% of all space-occupying brain lesions. A patient with frequent seizures presented to the neurosurgical department with a one-week history of progressive right upper limb weakness and numbness. CT scan and MRI findings revealed a malignant tumor in the left thalamus. The lesion was surgically excised because the patient’s consciousness was rapidly deterorating. Pathological examinations revealed a tuberculoma with mycobacterial infection. Sputum cultures revealed acid-fast stain positive bacilli infection two weeks after surgery despite normal chest X-ray findings. The patient took combined antituberculous drugs and recovered well without further neurological deficits during the two years of follow-up. Although rare, thalamic tuberculomas need to considered in the differential diagnosis of intracranial lesions. |
英文摘要 | 在結核病盛行地區、顱內結核約佔顱內腫瘤的5至30個百分比,可發生在腦內之任何部位。視丘腫瘤約佔顱內腫瘤的百分之一,而視丘是內結核罕見之位置,文獻上僅有極少之報告。本文所呈現的案例,有經常癲癇發作的過去病史,其住院之主訴為一星期漸進性的右上肢麻木及無力。電腦斷層及核磁共指檢查高度懷疑是一左側視丘的惡性腫瘤。病人由於腦壓升高合併意識惡化而接受外科手術。病理切片證實為一顱內結核。術後二星期的痰液培養證實有Acid-fast stain陽性反應的桿菌。患者接受多種抗結核的藥物治療後,追蹤之核磁共振顯示視丘結核已消失,病人恢復的情況良好且無進一步的惡化。儘管少見,視丘核結仍需列入顱內腫瘤的鑑別診斷。 |
本系統中英文摘要資訊取自各篇刊載內容。