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《Journal of Apoplexy and Nervous Diseases》 2008-05
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The experience in diagnosing and treating giant meningioma(a report of 39 Cases)

LIU Bao-bin,ZHAO Gang,XU Hai-yang.(Department of Neurosurgery,The First Hospital,Jilin University,Changchun 130021,China)  
Objective To summary the experience of the diagnosis and treatment of giant meningioma.Method The clinical data of 39 patients with the giant meningiomas(diameter≥7.0cm) in our department from January 2003 to January 2008 were analyzed retrospectively.Results Among all the cases,there were 33 patients(84.6%) who missed the chances to detect the tumor in their brains earlier.27 patients(69.2%) lost the chances for not taking the doctor's advice for auxiliary examination of imageology;6 patients(15.4%)didn't receive the advice for taking CT or MRI scanning from consultant.Total resection was achieved in all the cases,34 patients(87.2%) recovered well,5 patients(12.8%) suffering from the complications of subdural hematoma in field of operation were detected in time,the 5 cases then were cured after the operation of trepanation and drainage.Conclusion If we are more sensitive about brain tumor,the proportion of the early diagnosis in patients with giant meningioma will be higher.Patients with giant meningioma can obtain perfect prognosis if they are undergone microsurgery.Careful observations to the paients after operation can efficiently help us find and cure the complications in time,and improve the therapeutic effect of the patients.
【CateGory Index】: R739.45
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