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禹廷鉉 中央醫學社 1942 中央醫學 Vol.11 No.1
A case of "Giant'. Meningioma" in childhood is reported. The patient, 12 years :old boy, was admitted, to this clinic with chief complaints o severe headache,' vomiting, focal seizure and motor weakness on the right extremities. The focal seizure on the right hand and face had been noticed by his parents since 4 years old. Examination showed right hemiplegia with hyperactive tendon reflexes, marked papilledema and Babinski's signs bilaterally, which were. pronounced on the right side. The skull X-ray revealed diastasis , of coronal and .sagittal sutures with thinning ,of the posterior clinoid process of the sella turcica. The left carotid angiogram showed marked shift of the anterior ' cerebral artery to the right and marked displacement of the Sylvian point to downward, giving the impression of a large space-occupying lesion in the left fronto-parietal region:; A huge sized tumor' attached to the falx was removed by left fronto-parietal craniotomy. The tumor measured 10 x 6 x 3.5 cm and weighted 250,gnz. Histopathological examinations established a , diagnosis of fibroblastic type of. meningioma. Postoperative course was uneventful except mild weakness on, the. right- hand, and discharged 26.th hospital day. When last seen, 6: months after operation, the patient was free from symptoms.