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首页> 外文期刊>The Professional Medical Journal >INFRATENTORIAL TUMOURS IN ADULTS;
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INFRATENTORIAL TUMOURS IN ADULTS;

机译：成人的基础性肿瘤;

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During the course of two years, 50 adult patients with infratentorial tumours were admitted in our neurosurgical unit at Lahore General Hospital. These were 16.5% of total brain tumours in adult. There were 28 woman and 22 men. Most of the patients were from 21 to 50 years of age. Operations were performed in 46 cases. Most of the admissions (45 patients), were throughout patient department, and only 5 were through emergency. Commonest symptom was headache (84%) followed by disequilibrium (74%) and visual deficit (72%). Commonest clinical sign was papilloedema (96%) followed by cranial nerve dysfunction (72%). Duration of relevant neurological complaints was from 3 months to 2 years. Commonest location was cerebellopontine angle (56%). Histologically, acoustic neurinoma (52%), metastases (8%) and meningiomas (12%) were the common types. Gross total surgical resection was achieved in 66.6%. Hydrocephalus was present in 84% at presentation. General complications of ocoustic neurinoma surgery included CSF leakage in 10%. Total hospital stay has been between 3 to 8 weeks. Radiotherapy was given to 44% of patients. Follow up was possible for only 32% of cases. We did not have a incidence of metastatic lesions in our patients. We also conclude that intra operative ventricular tapping and postoperative drainage of CSF is unnecessary and increases the rate of infections and epilepsy.
机译：在两年的过程中，我们的拉合尔总医院神经外科收治了50名患有下颌骨肿瘤的成年患者。这些占成人脑瘤总数的16.5％。有28名女性和22名男性。大多数患者为21至50岁。手术46例。大部分入院患者（45名患者）是整个患者科室，只有5名是通过急诊室入院的。最常见的症状是头痛（84％），其次是失衡（74％）和视力障碍（72％）。最常见的临床体征是乳头水肿（96％），其次是颅神经功能障碍（72％）。有关神经系统疾病的病程为3个月至2年。最常见的部位是小脑桥脑角（56％）。在组织学上，常见的类型是听觉神经炎（52％），转移瘤（8％）和脑膜瘤（12％）。手术总切除率为66.6％。出现脑积水的患者占84％。声音神经性神经瘤手术的一般并发症包括10％的CSF漏出。总住院时间为3至8周。 44％的患者接受了放射治疗。仅32％的病例可以进行随访。我们的患者中没有转移性病变的发生。我们还得出结论，术中无需进行脑室攻牙和术后脑脊液引流，这样可以增加感染和癫痫的发生率。

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