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目的:探索小儿颅内胶质瘤的临床特点。方法:回顾性分析华西医科大学附一院神经外科近2年收治的56例小儿颅内胶质瘤的临床资料。结果:(1)小儿颅内胶质瘤好发于中线及后颅窝,易引起脑室系统梗阻而出现头痛、呕吐、视力下降等高颅压症状。(2)小儿颅内胶质瘤好发于幕下,病变累及小脑及脑干等结构,易出现走路不稳等平衡功能障碍表现。(3)小儿颅内胶质瘤可引起反复发烧。(4)特殊部位肿瘤尚有其特殊性。结论:小儿颅内胶质瘤的临床表现与成人比较有其特殊性,应引起临床重视,以期早期诊断
Objective: To explore the clinical features of pediatric intracranial gliomas. Methods: The clinical data of 56 children with intracranial gliomas admitted to Department of Neurosurgery, the First Affiliated Hospital of Huaxi Medical University in recent two years were retrospectively analyzed. Results: (1) Children with intracranial glioma occur in the midline and posterior fossa, easily lead to cerebral ventricular system obstruction and headache, vomiting, decreased visual acuity and other symptoms of high intracranial pressure. (2) Children with intracranial glioma occur in the curtain, lesions involving the cerebellum and brain stem and other structures, prone to walking and other balance dysfunction performance. (3) Children’s intracranial glioma can cause repeated fever. (4) special parts of the tumor still has its particularity. Conclusion: The clinical manifestations of intracranial gliomas in children compared with adults have their particularities, should cause clinical attention, with a view to early diagnosis