高位颈椎硬膜下巨大脊膜瘤1例报告并文献复习  

LARGE SUBDURAL MENINGIOMA IN THE UPPER CERVICAL SPINE:A CASE REPORT AND LITERATURE REVIEW

作　　者：张仲磊 吉立新[2] 刘学伍[3] ZHANG Zhonglei;JI Lixin;LIU Xuewu(Qingdao University Faculty of Medicine,Qingdao 266021,China)

机构地区：[1]青岛大学医学部,山东青岛266021 [2]临沂市人民医院脊柱外科 [3]山东大学齐鲁医院神经内科

出　　处：《精准医学杂志》2019年第1期75-76,共2页Journal of Precision Medicine

基　　金：国家自然科学基金项目(81873786);济南科技发展计划项目(201704102)

摘　　要：目的报道高位颈椎硬膜下髓外脊膜瘤1例,探讨高位颈椎硬膜下脊膜瘤的特点及手术方式、注意事项。方法我院2018年6月收治1例高位颈椎硬膜下巨大髓外脊膜瘤病人,给予后路手术切除肿瘤,未予固定。结果术后病人神经功能改善明显,复查颈椎MRI见肿瘤切除彻底,寰枢椎稳定。结论高位颈椎硬膜下脊膜瘤手术风险高,行后路手术切除临床效果较好。Objective To investigate the features,surgical methods,and precautions of upper cervical subdural menin-gioma by a case report.Methods In June 2018,a patient with a large extramedullary subdural meningioma in the upper cervical spine was admitted to our hospital.The tumor was resected via the posterior approach and the atlantoaxial vertebrae were not fixed.Results There was a significant improvement in neurological function after surgery.Cervical MRI showed complete tumor resection,and the atlantoaxial vertebrae remained stable.Conclusion There is a high surgical risk in patients with upper cervical subdural meningioma,and surgical resection via the posterior approach has a good clinical effect.

关 键 词：脑膜瘤 颈椎 硬膜 外科手术 

分 类 号：R739.45[医药卫生—肿瘤]