[Clinicopathologic characteristics and microsurgical treatment of glioma of limbic and paralimbic system].
OBJECTIVE
To explore the features of the clinical manifestations, imaging, pathology and microsurgery on the patients with gliomas of limbic and paralimbic system.


METHODS
The clinical data of 28 patients with gliomas of limbic and paralimbic system were analyzed respectively.


RESULTS
Seizure was the most common symptom, presented in 24 cases. CT scans showed hypodensity in 19 cases and isodensity in 9 cases. MRI scans were achieved in 23 cases, showing hypointense signal on T(1)WI and hyperintense signal on T(2)WI. Total resection was achieved in 19 cases, subtotal in 6 cases and partial in 3 cases. All patients had excellent postoperative recovery, except 5 patients who developed temporary frontal aphasia and 6 patients who developed contralateral hemiplegia. The patients had a postoperative follow-up ranging from 6 months to 5 years, and 23 cases still survived.


CONCLUSIONS
High-resolution CT and MRI may reveal the size, location, confines and sharp demarcation of the tumors. Gliomas can be microsurgically removed with considerable results.
Liu
Meng
M
Department of Neurosurgery, Qilu Hospital of Shandong University, Jinan 250012, China. liumengwy@sina.com
Liu
Yu-guang
YG
Zhang
Liang-wen
LW
Wang
Hong-wei
HW
Zhu
Shu-gan
SG
Wu
Cheng-yuan
CY
D000293:Adolescent; D000328:Adult; D001932:Brain Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D002648:Child; D005260:Female; D005910:Glioma / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery*; D006801:Humans; D008032:Limbic System; D008279:Magnetic Resonance Imaging; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D014057:Tomography, X-Ray Computed