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Infantile Spasms Clinical Manifestations of a Rare Brain Tumor: A Case Report and Literature Review

机译:婴儿痉挛症、罕见脑肿瘤的临床表现:病例报告和文献综述

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摘要

Desmoplastic infantile ganglioglioma (DIG) has a favorable prognosis and is classified as a benign infantile brain tumor. The DIG is more common in children under 2 years of age than in other age groups. This report introduces a 5.5 month-old infant who was referred with infantile spasms and diagnosed with a brain tumor. Brain magnetic resonance imaging showed a large heterogeneous mass in the right hemisphere with shifting to the other side. The patient underwent surgery. The extra-axial mass was completely resected, and the diagnosis of DIG grade I was confirmed by pathology. After one year, patient development was normal, and the seizures did not recur. In addition, the general condition was good. With a brief review and search in the literature, 13 case reports were identified 9 of which were male cases. The mean age of initial manifestation to final tumor diagnosis was 4 months. Out of 13 patients, 8 cases were reported with the mass origin in the right hemisphere. The most commonly observed tumors were glioma (n=4) and hypothalamic hamartoma (n=3). Except for three patients who died, the remaining had a complete recovery after tumor removal with a seizure-free interval at follow-up.
机译:结缔组织增生性婴儿神经节胶质瘤 (DIG) 预后良好,被归类为良性婴儿脑瘤。DIG 在 2 岁以下儿童中比其他年龄组更常见。本报告介绍了一名 5.5 个月大的婴儿,他被转诊为婴儿痉挛症并被诊断患有脑瘤。脑磁共振成像显示右半球有一个巨大的异质性肿块,并已向另一侧移动。患者接受了手术。轴外肿块完全切除,经病理证实 DIG I 级诊断。一年后,患者发育正常,癫痫发作未复发。此外,总体状况良好。通过对文献的简要回顾和检索,确定了 13 例病例报告,其中 9 例为男性病例。从初始表现到最终诊断为肿瘤的平均年龄为 4 个月。在 13 例患者中,有 8 例报告了起源于右半球的肿块。最常见的肿瘤是神经胶质瘤 (n=4) 和下丘脑错构瘤 (n=3)。除 3 例患者死亡外,其余患者在肿瘤切除后完全康复,随访时无癫痫发作间隔。

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