以頭暈或頭痛為表徵的腦膜瘤

Meningioma Manifesting as Dizziness or Headache

張大川(Ta-Chuan Chang) ； 楊怡和(Yi-Ho Young)

《台灣耳鼻喉頭頸外科雜誌》 39卷s-2期 (2004/12) Pp. 61-65

https://doi.org/10.6286/2004.39.s-2.61

摘要

腦膜瘤由於其侵犯部位不定，臨床表徵不一，因此診斷困難，容易導致誤診。自1996年1月至2001年12月間，在眩暈門診中，共診斷出5例腦膜瘤。其中4名因藥物治療無效，頭痛暨頭暈症狀非但無改善，且更形加重，故安排MRI檢查。另1例則是意外的發現。結果2例在額葉、2例在頂葉、1例在小腦橋腦角處出現空間佔據性病變，術後病理診斷均為腦膜瘤。故在眩暈門診病人中，面對主訴頭暈且伴有頭痛者，須隨時謹記腦膜瘤存在的可能性。若藥物保守治療1個月仍無見效者，亟須安排團MRI檢查以排除腦膜瘤的可能性。

關鍵字

腦膜瘤 ； 頭暈 ； 頭痛

並列摘要

Meningioma is a challenging diagnosis for clinicians, since it can originate in various sites and manifest with vague features such as dizziness or headache. This paper describes experiences with meningioma diagnoses in patients with dizziness or headaches. Five patients with suspected meningioma had the diagnosis confirmed by MRI, which identified two frontal lobe meningiomas, two parietal lobe meningiomas, and one cerebellopontine angle meningioma. Four patients were diagnosed after treatment failure with anti-vertigo medication, and the remaining diagnosis was incidental. All patients underwent surgery and the radiological diagnoses were confirmed histopathologically. Patients with persisting, unexplained headache or dizziness despite trialling medication over the course of a month should be scheduled for MRI examination to exclude meningioma or other intracranial tumors.

並列關鍵字

meningioma ； dizziness ； headache