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The onset of head trauma in 6 cases of intracranial tumors

Room area between the larvae had pedicled L-shaped polypoid mass. Dark red, to be surgically removed. Pathological diagnosis: choroid plexus papilloma. Example 2 male, 38 years old. 1h 1m height from the fall to the ground before. AGED examination: light coma, the right pupil larvae L3mm, light reflecting slow; the left pupil larvae L2mm, light reflex present. CT examination: a large right frontal lobe contusion hemorrhage, near the center line with a ill-defined mass shadow. The calcified plaque inside. CT diagnosis: right frontal lobe brain contusion combined falx herniation. Surgery to remove the hematoma and brain contusion after a falx see 4cmx4cmx3em nearly the size of the tumor with clear boundary, dark red, crisp and easy bleeding. To subtotal. Pathological diagnosis: a small branch of glial cell tumors. Example 3 female. 2 years old. 2h before the fall. Physical examination: light coma, his eyes staring right. Bilateral pupil larvae L1.5mm,scarpe nike 2011, light reflection retardation, liver and ribs 5em, nodular surface, hard, right supraclavicular mass the size of a pigeon. CT examination: right temporal lobe near the saddle next to the size of high density 3cmx2em. In the cistern, ambient cistern and interhemispheric fissure cistern are high density. CT diagnosis: right temporal lobe lesions subarachnoid hemorrhage. B-suspected liver cancer. Get cut pathological examination of cervical lymph node. Family refused surgery were discharged. Pathological diagnosis: hepatocellular carcinoma lymph node metastasis. l Clinical diagnosis: liver metastasis of cervical lymph node and brain meninges. Example 4 male, 52 years old. 1h ago fell from the chair. Immediately unconscious. AGED examination: blood pressure 140/90mmHg,new balance outlet, light coma. Bilateral pupil so large, there is light reflection, eyes global level tremor, right upper limb activities of small, reduce muscle tension. CT examination showed the right size of the cerebellum have 3cmx3em high density. Fourth ventricle with mild compression shift. AGED diagnosis: traumatic cerebellar hemorrhage. Line dehydration, bleeding and other drug treatment, lateral external drainage. 3 weeks no improvement in disease treatment, CT showed right cerebellar hematoma review has been partially absorbed. But showed increased mass effect,asics tiger shoes, posterior fossa craniotomy for exploration found the right one 4cmx3cmx3em small brain size, gray red mass, crisp and easy bleeding, subtotal line. Pathological diagnosis: astrocytoma grade Ⅱ. Example 5 men. 48 years old. 8 years ago due to acute brain injury craniotomy decompression. Intermittent seizures after taking anti-epileptic drug treatment. 2d antecedent seizures fall, wake up after the complaint, headache, vomiting, right limb weakness. Physical examination: sleepiness like, bilateral and other large pupil, light reflex exists, right upper limb muscle strength 3, leg 4. Tension increased bone flap on the left window. CT examination: the left frontal lobe hematoma about 3Om1. Midline shift to the opposite side. Emergency surgical removal of intracerebral hematoma of approximately 40m1. Found to have deep temporal lobe tumor-like tissue. Ash red, ill-defined, quality slightly harder. For most of the removal. Pathological diagnosis: brain glial cell proliferation. Example 6 women. 40. 1 week before being knocked down by bicycles, non-coma history. V. after injury dizziness, headache. Check right front forehead skin abrasions, nervous system examination was normal. CT showed a left frontal lobe near middle slightly higher density of block shadow, about 4cmx3em size, homogeneous enhancement after enhancement, border and clear, no edema. CT diagnosis: left frontal falx meningioma. Who underwent tumor resection hospital, pathological diagnosis: fibrous meningioma. 2 discussions,clarks shoes outlet, brain tumor incidence in acute head injury were not uncommon before, the group reported that in 6 cases. Trauma and cancer patients between 6 coincidence. Example 1 ventricle choroid plexus papilloma. When the tumor is located in the ventricle may be asymptomatic. Once the room between the holes caused by tumor obstruction of cerebrospinal fluid circulation path blocked, there may be severe headache or transient disturbance of consciousness. Obstruction is relieved and then return to normal. Example 2 small sticks of frontal glioblastoma. Patients with high job. Head back to generate a transient ischemic cause fainting to the ground. Hedge cerebral contusion and laceration occurred. Example 3 2-year-old girl, CT showed intracranial mass lesions. Image does not match with the injury. With hepatomegaly, liver and cervical lymph node B-ultrasound biopsy as metastatic liver cancer, which has been inferred in children with intracranial meningeal brain metastasis. Example 4 cerebellar astrocytoma with hemorrhage. The imaging results of the initial trauma or spontaneous cerebellar hemorrhage indistinguishable. 3 weeks after treatment before considering tumor lesions increase stroke, and the diagnosis confirmed by surgery and pathology. 5 cases of traumatic epilepsy is generated when the head injury seizures again. Intracerebral hematoma in the clear when the tumor tissue. Pathological diagnosis of brain glial cell proliferation, not to glioma diagnosis, surgery nor radiotherapy, died of cancer in situ recurrence after one year, should be cited as lessons learned. (20o5-04-28 Received,asics shoes online, 20o5-1O-25 Revised) Author: Wuhan Iron and Steel Iron workers Neurosurgery Daye (Hubei Huangshi, 435006)-k Neurosurgery, Central Hospital of Huangshi (Hubei Huangshi, 435000)
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