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YY *** my mother 75 years of age, meningioma (cerebellopontine angle meningiomas) can be medical treatment? Description disease (onset time, major symptoms, visiting hospitals, etc.):My mother by the end of May 2010 blackouts, dizziness, on June 4th Affiliated Hospital of Nantong University, CT and enhanced MRI done, diagnosis, abnormal signal on the right cerebellopontine angle, consider the meningioma, the latter confirmed by a doctor to see the film meningeal tumor size was 2.2 * 2.2, she is 75 years of age, body in good condition, considering gamma knife therapy or surgery? If I do not know how effective the treatment with the Gamma Knife?And effectiveness of treatment was:How do want to help:Able to answer these questions? Or message guide
Posted at Qin Zhiyong Doctor replies: I am 75 years old mother, meningioma (cerebellopontine angle meningiomas) can be medical treatment?
2 # Shanghai Huashan Hospital, Professor, MD, chief of neurosurgery plus
Need to see a film. Older, the tumor is not, consider the gamma can Qin Zhiyong of Neurosurgery, Shanghai Huashan HospitalQin Zhiyong Posted at my doctor
Cerebellopontine angle meningiomas worry about 4 minutes (content expertise) to edit entries summary
There is no summary of the contents of the directory welcome to add the edit summary - [hide] 1 2 cerebellopontine angle meningioma disease overof the names of diseases 3 4 5 Classification of Diseases cause symptoms and signs of disease 6 7 8 treatment di


agnostic Edit this section Back to the top of the disease, an overof the cerebellopontine angle meningiomas first report dates back to 1855. Cushing in 1928 to 6 cases reported in 1938. But the results were not ideal, the average survival of 12 months after surgery. Cerebellopontine angle meningioma surgery to deal with difficult, because there are many important nerves and blood vessels winding, so after poor results. In recent years, with the development of microsurgery, the treatment of this disease has made great progress. In 1980 Yasargil reported 30 cases of resection of cerebellopontine angle meningiomas are successful. Cerebellopontine angle acoustic neuroma tumors in more common, accounting for 70% to 80%, meningiomas account for only 6% to 8%, 4% cholesteatoma 5%. The group of 199 cases of cerebellopontine angle meningiomas and 6.33%, ranking the posterior fossa tumor No. 3 in after acoustic neuroma and cholesteatoma. Incidence of more than middle-aged women, average age 43.8 years, female: male was 1.53:1. Different according to tumor location, the disease to the first V, , cranial nerve and cerebellar dysfunction, the most common. More advanced tumors increased intracranial pressure can be combined.
The most common auditory nerve damage, 90% of patients had hearing impairment and early tinnitus. Vertigo is less common. Vestibular function tests and audiometry examination and more can be found exception. Hemifacial spasm or mild facial paralysis is an early manifestation of facial nerve damage, a total of 137 patients in this group, accounting for 68.8% of the total cases.
Patients with facial numbness, decreased sensation, corneal reflex, temporal muscle atrophy of the performance of the trigeminal nerve damage are more common, 130 cases of this group of patients, accounting for 65.3%. 18 patients with chief complaint is to seek treatment for trigeminal neuralgia.
Cerebellar compression, prone cerebellar signs. Such as ataxia, nystagmus, and ipsilateral coarse level of ataxia. The group had 2 / 3 of patients to the hospital when there cerebellar signs.
About half of this group of patients to the hospital when the eyes have papilledema. Development of the disease appears to choke swallowing, hoarseness and other lower cranial nerve injury is relatively rare in the performance. Edit this section Back to the top of the diagnostic test 1. Detailed history of intracranial hypertension and neurological symptoms, watch for seizures, understand epilepsy before and after the onset of attack situation.
2. Medical attention to check the positive signs of the nervous system to check whether the top of the head protruding bone or skull defects.
3. Skull X-ray-positive findings are: the local tumor board skull bone hyperplasia, proliferation both within and outside the board may have a bony prominence, a few may have cranial plate damage. visible tumor blood supply by compression of blood vessels dilated and tortuous track toward growth or destruction of bone area. skull of increased intracranial pressure changes. sometimes visible tumor calcification and calcification of the pineal shift.
4. Cerebral angiography is mainly used for understanding of tumor blood supply, and major blood vessels surrounding the relationship between.
5.CT and MRI scans to determine the location and size of the tumor, the vast majority diagnosis can be made. CT scan showed a clear boundary of uniform high density, enhanced significantly. A few showed mixed density or low density changes. MRI showed the tumor most other signals, enhanced significantly enhanced. Edit this section | Back to the top of the treatment with unilateral suboccipital approach, if necessary, outside the cerebellum removed 1 / 3 of acoustic neuroma surgery and similar procedures. Edit entry Open Category:
Disease, the medical term evaluation: Evaluation of the ity to participate in a total of 0 0% 0% rich professional good 0% 0% 0% I have to evaluate the poor:


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