Tehran University Medical Journal
مجله دانشکده پزشکی، دانشگاه علوم پزشکی تهران
Tehran Univ Med J
Medical Sciences
http://tumj.tums.ac.ir
1
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1683-1764
1735-7322
10.18869/acadpub.tumj
000
000
000
fa
jalali
1391
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gregorian
2012
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70
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online
1
fulltext
fa
لیپوم ناحیه تکتوم مغز میانی: گزارش موردی و مرور مقالات
Tectal lipoma: a case report and review of literature
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<p class="MsoNormal" style="text-align: justify direction: rtl unicode-bidi: embed"><strong><span style="font-size: 10pt">زمینه و هدف:</span><em><span style="font-size: 10pt"> </span></em></strong><span style="font-size: 10pt">لیپومهای اینتراکرانیال نئوپلاسمهای خوشخیم بسیار نادری هستند که کمتر از 1/0% کل تومورهای اولیه مغز را تشکیل میدهند. این ضایعات عموما در خط وسط ایجاد میشوند و معمولا بهطور اتفاقی در اتوپسی یا سیتیاسکن کشف میشوند. انسیدانس لیپوم اینتراکرانیال در اتوپسیها حدود 08/0-46/0% است. این ضایعات خوشخیم رشد کندی دارند و معمولا بیعلامت بوده و بهندرت به جراحی نیاز دارند.</span><span style="font-size: 9pt"> </span></p>
<p class="MsoNormal" style="text-align: justify direction: rtl unicode-bidi: embed"><span style="font-size: 9pt"></span><strong><span style="font-size: 10pt">معرفی بیمار:</span><em><span style="font-size: 10pt"> </span></em></strong><span style="font-size: 10pt">در این مقاله بیماری 20 ساله را گزارش میکنیم که با شکایت سردرد، از حدود دو سال پیش مراجعه کرده است و در سیتیاسکن لیپوم سیسترن کوادری ژمینال بدون هیچ اثر فشاری روی عناصر عصبی یا افزایش فشار اینتراکرانیال مشاهده شد. سردردهای بیمار با اقدامات علامتی بهبود یافت. در اینجا به شرح یافتههای سیتیاسکن و امآرآی و مروری بر متون میپردازیم.<strong> </strong></span></p>
<p class="MsoNormal" style="text-align: justify direction: rtl unicode-bidi: embed"><strong><span style="font-size: 10pt">نتیجهگیری:</span><em><span style="font-size: 10pt"> </span></em></strong><span style="font-size: 10pt">با توجه به تجربه اخیر و یافتههای موجود، بهنظر میرسد انجام جراحیهای وسیع در این ضایعات موردی نداشته و علایم بیماران با اقدامات کنسرواتیو و انجام شانت مایع مغزی- نخاعی در موارد هیدروسفالی قابل کنترل است.</span></p>
<p style="text-align: justify"><strong>Background</strong>: Intracranial lipomas are rare benign neoplasms that comprise 1% of all primary brain tumors. Generally, occur in midline structure and usually identified incidentally on CT scans or in autopsies. The incidence of intracranial lipomas is about 0.08 to 0.46% on autopsies. These benign lesions are slow-growing, usually asymptomatic and rarely require surgery.</p>
<p style="text-align: justify"><strong>Case Presentation</strong>: We report a 20 years old male who complained of headache since two years ago. On CT examination, a quadrigeminal cistern lipoma without any pressure effect on neural structures demonstrated. His headache remitted with conservative measures. Here, we have a review on the literature and explain CT scan and MRI findings.</p>
<p style="text-align: justify"><strong>Conclusion</strong>: According to the literature and present case, it seems that direct surgical excision of tumor is not justified in the majority of cases and symptoms of patients greatly respond to conservative measures and, at most, in cases of hydrocephalus, CSF shunting relieves their symptoms.</p>
لیپوم تکتال,لیپوم کوادریژمینال پلیت,تومور مغز
Brain tumors,quadrigemina plate lipoma,tectal lipoma
200
203
http://tumj.tums.ac.ir/browse.php?a_code=A-10-1574-2&slc_lang=fa&sid=1
Khoshnevisan
Alireza
علیرضا
خوشنویسان
akhoshnevisan@yahoo.com