analysis of disease diagnosis and treatment of brain stem（脑干的分析疾病的诊断和治疗）.docVIP

Analysis of disease diagnosis and treatment of brain stem [Keywords] the brain stem; brain stem tumor; micro-surgery; surgery, selective With the development of neuroimaging, brain stem tumor, inflammatory, demyelinating disease, multiple sclerosis, ischemic vascular disease and other cases have increased as we all know, different types of lesions should use the appropriate method, but sometimes in the clinical difficult to distinguish the nature of disease at this time, clinicians often do nothing, especially MRI showed extensive diffuse growth without borders who often hold the attitude of withdrawal of treatment [1,2]. 2005 12 November 2007 were treated in the brain stem lesions of 26 patients. now report on its diagnosis and treatment are as follows. 1 Materials and Methods 1.1 General Information 13 males and 13 females; aged 3 to 71 years, average 31.5 years of age. Duration of 7 d ~ 1 year, an average of 3 months, 10 d. headache, dizziness in 23 cases, vomiting in 10 cases, diplopia in 5 cases, facial paralysis 7 cases, 5 cases of hoarseness, cough in 8 cases, 6 cases of dysphagia, abducens nerve palsy in 6 cases, limb weakness or paralysis in 24 cases, partial body sensation in 15 cases, papilledema in 10 cases, 14 cases of ataxia , pathological signs were positive in 10 cases. 1.2 neuroimaging Head CT scan in 15 cases, including enhanced scan in 10 cases; used in patients underwent plain and enhanced MRI scan; 2 cases of cerebral angiography (DSA) examination. 1.3 CSF In addition to MRI were clearly outside the tumor underwent lumbar puncture, including measuring cerebrospinal fluid (CSF) pressure and conventional, biochemistry, bacteriology, this group of 17 patients. 1.4 Treatment For the MRI shows the tumor and the specific conditions for the permit in anesthesia craniotomy microsurgical resection, the 5 cases; conservative treatment, including 20% ??mannitol, hydrocortisone or dexamethasone, antibiotics, anti-