小结
定义
病史和体格检查
关键诊断因素
- 头痛
- 恶心和呕吐
其他诊断因素
- 行为变化
- 复视
- 眼肌麻痹
- 前囟凸起
- 视神经乳头水肿
- 眼球震颤
- 头部倾斜
- 共济失调
- 辨距不良
危险因素
- 年龄 3-8 岁
- 男性
- 与遗传性家族性综合征相关
诊断性检查
首要检查
- 脑部 MRI
- 头颅 CT
- 组织学
- 颈椎、胸腔和腰椎 MRI
- 腰椎穿刺：
需考虑的检查
- 术后 MRI
治疗流程
年龄＜3 岁
年龄≥3 岁
撰稿人
作者
Gail Horan, MB, BcH, BAO, BMed Sci, MRCPI, FRCR
Consultant Clinical Oncologist
Department of Oncology
Addenbrooke's Hospital
Cambridge
UK
利益声明
GH carries out lectures and paid consultancy work for Janssen, and holds shares in GenesisCare. GH is the author of a reference cited in this topic.
Fiona Harris, MBChB, MRCP, FRCR
Consultant Clinical Oncologist
Addenbrookes Hospital
Cambridge
UK
利益声明
FH declares that she has no competing interests.
Thankamma V. Ajithkumar, MBBS, DMRT, MD, FRCR, FRCPEdin, MBA
Consultant Clinical Oncologist
Cambridge University Hospitals NHS Foundation Trust
Cambridge
UK
利益声明
TVA is the author of a reference cited in this topic.
鸣谢
Dr Gail Horan, Dr Fiona Harris, and Dr Thankamma V. Ajithkumar would like to gratefully acknowledge Dr Sindu Vivekanandan, Dr Barry Pizer, Dr Michael J. Fisher, Dr Phillip B. Storm, and Dr Gregory G. Heuer, the previous contributors to this topic.
利益声明
SV, BP, MJF, PBS, and GGH declare that they have no competing interests.
同行评议者
David Rowed, MD
Division of Neurosurgery
University of Toronto
Toronto
Ontario
Canada
利益声明
DR declares that he has no competing interests.
Michael Vloeberghs, MD, PhD
Professor of Paediatric Neurosurgery
Nottingham University Hospital
Nottingham
UK
利益声明
MV declares that he has no competing interests.
鉴别诊断
- 偏头痛
- 病毒性感染
- 室管膜瘤
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