最近审阅: 27 十月 2020
最近更新: 15 十月 2019

小结

定义

病史和体格检查

其他诊断因素

  • 意识状态改变
  • 头痛
  • 恶心和/或呕吐
  • 步态异常
  • 共济失调
  • 虚弱
  • 惊厥
  • 视觉障碍
  • 语言功能缺失
  • 失语症/言语障碍症
  • 感觉缺失
  • 运动无力
  • 视觉改变
  • 颅神经麻痹
  • 视神经乳头水肿
  • 人格改变/情绪不稳
  • 认知功能减退
  • 眼球震颤
  • 同侧辨距不良
  • 失算症
  • 手指失认症
  • 左右混淆
  • 失读症(没有失写症)
  • 淡漠
  • 下丘脑综合征

危险因素

  • 白人血统
  • 男性
  • 神经纤维瘤病 1 型
  • 结节性硬化症
  • Li-Fraumeni 综合征
  • 胶质瘤息肉病综合征
  • 电离辐射

诊断性检查

首要检查

  • 头部 MRI
  • 眼科评估:视野检查
  • 脑部 CT
  • 头部光谱磁共振成像
  • 头部灌注磁共振成像
  • 活检
更多 首要检查

需考虑的检查

  • 垂体激素检测
  • 弥散张量成像(DTI)
更多 需考虑的检查

新兴检查

  • 2-羟基戊二酸-靶向磁共振波谱
更多 新兴检查

治疗流程

撰稿人

Chief of Neurosurgery

Dartmouth-Hitchcock Medical Center

Lebanon

NH

利益声明

TCR is an author of a number of references cited in this topic.

Assistant Professor of Neurosurgery

Dartmouth-Hitchcock Medical Center

Lebanon

NH

利益声明

LTE declares that he has no competing interests.

Dr Timothy C. Ryken and Dr Linton T. Evans would like to gratefully acknowledge Dr Manmeet S. Ahluwalia, Dr Susan Chang, and Dr Karine Michaud, previous contributors to this topic.

利益声明

MSA has acted as a consultant for Elekta, Incyte, AstraZeneca, Novocure, Caris Life Sciences, Bristol-Myers Squibb, Monteris Medical, AbbVie, MRI Solutions, Elsevier, and Prime oncology. MSA has received clinical trial investigations grants from Tracon, Bristol-Myers Squibb, AstraZeneca, Novartis, and Novocure. SC has received research support from Agios, Novartis, Quest, Roche, and Schering Plough. KM declares that she has no competing interests.

同行评议者展开全部内容

Associate Professor

The Preston Robert Tisch Brain Tumor Center

Duke University Medical Center

Durham

NC

利益声明

DAR declares that he has no competing interests.

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