脑膜癌病  

Clinical study of meningeal carcinomatosis

作　　者：肖颖[1] 张本恕[1] 

机构地区：[1]天津医科大学总医院神经内科,300052

出　　处：《中华神经外科杂志》2008年第11期838-839,共2页Chinese Journal of Neurosurgery

摘　　要：目的探讨脑膜癌病（MC）的临床表现和诊断依据。方法采用临床病例分析统计方法，对45例MC患者的临床资料进行回顾性研究。结果MC以颅内高压和脑膜刺激征为主要临床表现，头CT及MRI平扫检查均无异常发现，脑脊液细胞学检查和头MRI增强扫描可有阳性发现。结论MC临床表现缺乏特异性，早期诊断困难。头MRI增强扫描对诊断MC有一定的指导意义，反复脑脊液检查找到癌细胞是确诊的依据。Objective To investigate the clinical manifestations and diagnostic evidence of meningeal earcinomatosis （MC）. Method Using clinical statistical method, to retrospectively study the clinical data of 45 patients with MC. Results MC presented the main characteristics of intracranial hypertension and meningeal irritation. Head CT and MRI imaging presented normal, and cerebrospinal fluid cytological examination and head MRI imaging enhanced scanning might present positive clues. Conclusions MC is a disease, having no characteristicly clinical manifestations and having difficult diagnosis in the early. Head MRI imaging enhanced scanning may provide some referential value for diagnosis, and cancer cells found in repeatedly cytological examination of CSF are the evidence for definite diagnosis.

关 键 词：肿瘤转移 脊椎穿刺 磁共振成像 脑膜癌病 

分 类 号：R686[医药卫生—骨科学]