小腦血管母細胞瘤－病例報告

Hemangioblastoma of the Cerebellum - Case Report

鄭仁壽(Ren-Show Cheng) ； 吳傳頌(Chuan-Song Wu) ； 許家禎(Chia-Chen Hsu) ； 李汝隆(Ju-Lung Lee) ； 蔡建誠(Chien-Chen Tsai)

《中華民國耳鼻喉科醫學會雜誌》 32卷3期 (1997/06) Pp. 342-347

https://doi.org/10.6286/1997.32.3.342

摘要

血管母細胞瘤常見發生於小腦。早期時常無症狀出現，當有症狀時，常以位置性眩暈及眼振來表現，故藉由耳視經學的檢查，希望能及時發現，早日治療。本院在民國84年間，經歷一病例，病人主訴陣發性位置性眩暈達5個月，伴隨噁心、嘔吐與枕部頭痛。當病人平躺且頭部左轉時，則伴隨眼振發生，噁心、嘔吐及頭痛之情形更隨左轉之程度而加劇。經過耳神經學檢查，包括純音聽力檢查、注意眼振、頭位眼振、頭位變換眼振、電質眼振圖、聽性腦幹反應等。在懷疑小腦腫瘤的情況下，我們安排核磁共振攝影後獲得證實，病人術後愮況穩定，病理組織證實為小腦血管母胞瘤。(中耳醫誌 1997;32:342-347)

關鍵字

血管母細胞瘤 ； 小腦

並列摘要

Hemangioblastoma is usually located in cerebellum, but cerebellar sign develop in the late period. The otoneurological examination is a good method to get an early diagnosis. In 1995, we experienced a case of cerebellar hemangioblastoma. The patient had suffered from positional vertigo for 5 months. Vomiting and occasional occipital headache were noted. The condition was aggravated while the head turned to the left side in supine position. Cerebellar tumor was suspected after otoneurological examinations, including pure-tone audiometry, agze nystagnus, positional nystagmus, positioning nystagmus, electronystagmography, brainstem audiometry, etc. Finally, it was proved by MRI & pathological biopsy. The patient underwent a total-excision surgery and recovered gradually. The detailed clinical treatments and pathological findings will be discussed.

並列關鍵字

hemangioblastoma ； cerebellum