福F毙厩

и讽洛ネfHAゲ斗╆帝Y略VAA]иO@HAτぃ度度uO@fC福Fㄓ弧AN衡иbCTW@D`D`摸福FFAи]ぃQ讽MφNрウ讽福F倒}FF冈冈灿灿a高拜fvApo@丁BL{Bg单AfV蝶MㄤLief@挪OE_A~@U@Bv励ゴ衡A拨澈ネROL基KK

SECTION1阀阶

SLIDE1福Fg

SymptomatologyofBraintumor•IICP:headache,nausea,vomiting,papiledema,consicousnessdisturbance•Seizure:Lateonsetonsetseizure（Predisposingfactors,prodromalsigns,Aura,ictal,postictalsigns）•Progressiveneurologicalsigns•Accidental（Asymptomatic）

1.`ず溃ど蔼（IICP）G`ず溃ど蔼DngpU（TjDng-YhB姑RBN醚家k）

A.YhGIICPYhM@YhぃPA螟跋だC@ㄓ弧AΤT贺Yh惠nSO`NG1.YhOi┦（progressive）C2.YhOЫ场┦（localized）AτBubY跋办oネC3.Yhb贬丁o@A|h眶Lㄓ（何谋いCO2WどAyΘ福恨XiA]τㄏ福溃WどAyΘYh）常iOIICPyΘYhC

B.潸みB姑R（溃姑Rい枷）B跌ㄅ~C

C.N醚家kGiㄓㄢよG@OㄓIICP溃福F呼挡c（reticularformationF呼挡c}a|ㄏfHcoma）A┪溃j福τyΘ@ㄇcorticalfunctionpO拘OCA┪b孩B募笆单

t~临Τ@In`NOA福溃WどHA沮Cushingresponse|Τ溃WどAみ铬搭C{H（JAW[福溃τрゴi福いAG溃WどFW[み块XAGみ铬搭CC）b{WAYΤ@]Y场~端τeiㄓfHA酚z弧ㄤ]`ず溃WどA|Τ溃ど蔼み铬搭C{HCY代oㄤみ铬SΤ搭Cはτ[еAhゲ斗nσ{fHXㄖΤずXiC

2.Seizure（ΤH陆@┾惮BΤHрウ讽@碰wArㄥW亩〃efo@〃）GseizureΤh贺摸Abぃ[仑zAdHgずAWCseizure]Τぱ┦]Τぱ┦Aㄤいぱ┦常b|耕Νo@Aτσ{M福FΤ闽seizurelateonsetYb20烦H~Τo@{HoネCSeizureDnOg灿Mqぃタ`yΘAn`NHUXIG

A.护o]lPredisposingfactorGpゴq笆ㄣBD簧厚BブdCKK

B.eXgProdromalsignGofeXぱ谋o┣┣An钩ΤofwPBwぐ或K..

C.*Aura（）Go@e@bêP谋ぐ或钵Cㄒpǎ〃@{@{G垂垂〃pPPAê或f_ib跌谋跋办FpGDSDAiOtemporallobeXF拜DFも}|o陈A拜DiXbmotorareaKK单单C

D.ictal}lo@G`Nqaよ}lΤ钵玻ネC

E.postictalsigno@G`Naよ程_Cㄒp[[常弧ぃX杠B}b[ぇ~笆单单AN帝闽g北跋办ΤlaiC

3.i┦g厩WxGtumorg跑てq`ぃ|OsuddenonsetAτhprogressiveC

4.N~o{BLgGΤㄇ福Fb戳┪beBA福ずB福U砰τゼyΘヴg诀毁锚C`bfH]ㄤLfg|浪dALNいQo{C

SLIDE2福Fだ摸

ClassificationsofBraintumors•Glialtumor:1.Glioma（astrocytoma,oligodendroglioma,ependymoma,medulloblastoma）2.Neuroblastoma3.Ganglionglioma•Nonglialtumor1.Meningioma2.Sellartumor3.Craniopharygioma4.Hemagioblastoma5.Germcelltumor6.Neurofibroma7.Metastatictumor8.Lyphoma9.Epidermoiddermoidcyst10.Arachnoidcyst

ρv沮虏虫BM贰の龟ノh癸福F蹦HUだ摸kG

ㄌㄓ方だΘgt参ㄓglialtumor（パglialcell跑ㄓゑ耕hAneuronぶぶぶ|跑Θtumor）のDgt参ㄓ方non-glialtumor（ㄒp福饯FB福砰~F单）AAㄌc┦{だΘgrade⒐⒑⒒⒓CGliomaO程`ǎbraintumor（50MHW）iAだΘastrocytoma,oligodendroglioma,ependymoma,medulloblastomaㄤいastrocytomaゑ耕}┦CNeuroblastomaMGangliongliomaぶǎAさぱ既Bぃ矗oㄢCτnon-glialcelltumor]Τ@ㄇZ`ǎA琵и@@酵UhC

SECTION2Glialtumor

SLIDE3Cysticastrocytoma

Cysticastrocytoma

ㄌ沮fzだ摸AP灿MFだΘ|G材@AGO}┦AΤv隆诀|C材TA|Yc┦Aj阀us1-2~CP灿MFpbB腑A腑A┪p福byAiHЧち埃ANiセv隆CYObLkち埃场ApB笆跋Ayē跋A福F场A┪跌C单hu@场ち埃CP灿MF癸gv励┪て厩励kAG常ぃnC]pGLkち埃AYㄏO}┦FwョぃㄎC

1.}┦A斑@iHЧv隆braintumorC

2.|oネcysticchangeNcystず摸mucinG砰┾奔簿埃福FYi

3.|Aof{benignYㄏウO}┦}ЧMョ惠C~l萝

SLIDE4Cerebellarcysticastrocytoma

oOD`S福FAnobp福PpCOiHЧv隆福FC~F鲸恨jAO常OnAuタ福FuΤbn纠Wpp场AもNunち埃福F场]k瓜bY┮^AnいG砰┾XYiCもNi弧D`虏虫τwCO瘤MOiv隆福FAOpGfHASOOaHチU励kAHP┑~f薄C[W洛vg喷ぃìAb材@ΩもNいYゼЧち埃福FAPSΤ癸fa暗nタ讽矫毙AYfHゲ斗w戳l萝浪dC旧P福F_oYaBC材GΩ_oAg\洛vもN荷iち埃福FAOもNfHㄌMΤキ颗ア秸框gAOH{堡I

SLIDE5CerebellarHemagioblastoma（youngadulttumor,cysticandvascular）

W瓜tumor_ㄓVeXislideいcysticastrocytomaAgL恨yv（angiography）o{ウOq恨ㄓCウno福场h场SOOp福AfH|ΤYh（IICP）の@ㄇp福goネC

SLIDE6Grade⒐astrocytoma

1.}┦AネwCC（GradeだぃM贰A`倒~洛vaㄓxZ）

2.Wzfㄒ埃Fnσ{福Fぇ~A]nσ{Hネ挛PVのTBi┦C

SLIDE7Grade⒑astrocytoma

YㄏOGrade⒑astrocytomapGfHX@杠wごD`n

SLIDE8Astrocytomagrade⒑V⒒

Astrocytomagrade⒑V⒒q`|ゑ耕螟BzC

SLIDE9Benignastrocytomawithmalignantchange

き~Q~

NoteG}┦astrocytomaご|ΤmalignantchangeCAΩj秸w戳l萝n┦C

SLIDE10MalignantastrocytomaG⒒Basalganglion

c┦~F|еcてCpGiHЧち埃AfH|is1-2~ApGLkもNAhGぃ臭]QAfH``uΤXるネRCΤc┦FOパ}┦F锣跑τㄓA┮Hヴ贺福FA@スo{iHち埃A叭ゲ荷Νち埃H埃wCc┦~FTMi┤A]ぃ莱赣ぃ`タW洛励ㄓv励C瓜@もNe瓜GもN瓜T3~

SLIDE11Malignantglioma,grade⒒-⒓

t@c┦溅借FㄒlAP妓iiеBwtC

SLIDE12Glioblastomamultiple

oO程c┦福FAL阶pv励BpЧち埃A@fwぃ@~Co贺程c┦福FqCT┪MRINiA秆A~Fぃ度镑jA镑睹AuぃMAΤい丁aHの锣簿癸凹]オW瓜^C巩iHもNA]uOh@~b更τwC

SLIDE13Tumorbleeding

ρvHoㄒlAΩj秸讽洛ネn略VB灿みC

讽ofHeㄓSΤbraintumor@ㄇ夹非gfHg⌒suddenonsetC酚CTo{（オ瓜）ΤX{HA]τ{OCVA（いA）bMтXIPAρvh好ㄤXぃ虫CゴF癸ゑ警A酚@Ω（い瓜）o{Ah好Otumorま_XC恨尼v（k瓜）T{TOパtumorま_bleedingC

SLIDE14Ependymoma,forthventricle

EpendymomaOパ福纠恨灿MXㄓA@|yΘ福gτㄏfH{福溃ぎigAYhA姑RAN醚ぃM单Cno材|福AㄤΩO凹福CもNeもN

ofㄒOplCbpl福福Fnσ{T贺tumorA]A矗Lcysticastrocytoma,ependymomaHのmedulloblastomaCoependymomaOq材|福XㄓCパ材|福MbrainstemQだ钡A@スtumorIデbrainstemAもNKSΤ快ko爱bA]τΤiA_oCofHBnependymoma临SIデbrainstemA]w临ぃ岿C

SLIDE15Ependymoma,Rttrigone,adulttype

MW@islide@妓常OependymomaAo@OΘHAτBtumorA福いC@ㄓ弧b福いtumornoj~|ΤIICP单gAfH~|N洛A]w常tCo家dfHパw戳l萝A┮H~Ν戳o{A毕Fv@RC

SLIDE16Intraventicularoligodendroglioma

IntraventicularoligodendrogliomaM福liningcellsSΤ闽YAウOパoligodendroglialcellXㄓA@τēゑ耕}┦A`ǎtて（tumor|oネtてq`Τㄢ贺薄pG@Oびc┦びеFA~F恨Lkㄑ莱ず场A┪XyΘaBtてFGOoびCAび[F]|tてCIntraventicularoligodendroglioma妮）

Oo~FmぃnAぃ恨fH]|录录Cê或p秆MウOHиiHqタいァA]NOj福ㄢbyい丁ちihAい~|Jcorpuscallosum或快Hぃn]ち}ウ（ちd瞅程nぃnWLeTだぇ@AτB荡癸ぃiHちfornixAo妓癸fHNXGSぐ或vTA郴hvT@IO拘よ）ぇNF福CpG~FO恨┦┪X或快HS闽YAノlよΑNрtumorMX@Ω秆MFC

Fê或jFXㄓAj福ぃ|herniation盾Hq`иぃ踞み福溃|LCApG@ㄇCSFqD常Zq杠]ぃ|oネ福Cи踞みはτO福溃|L蔼C]福lgLиo妓l夸nぇ|oネedemaAτB~{M夸n丁Θタゑ（┮H笆@nеI）C]pGиbもNЧS}MihA|o{福Q溃oC

SlLIDE17Oligodendroglioma

t@OligodendrogliomafHAlWiǎtumorΤtてC俱砰_ㄓi┤A}oMn7-8pAfHw临ぃ岿COиぃ辨fHtumoro或jF~ㄓтиC

SLIDE18Cerebellarmedulloblastomawithhydrocephalus

Medulloblastoma

nop福挛场AphAk┦hk┦CfzS┦Oc┦FAOpGiHЧち埃AhごiΤv隆诀|C

もNeもN

Cerebellarmedulloblastomawithhydrocephalus

Medulloblastomawh1-2烦pAoネbplōWAhbい丁p材|福FoネbjHAhb娩Cパ福Fj|峨材|福AyΘ福A┮Hwㄓт洛ネDDhIICPgCbv励n秆M]福yΘIICPAiHV-Pshunt@CSFまyC

SECTION3Non-glialtumors

Non-glialtumoro@场だg~洛ネゑ耕Τ砍届C]ウMbrainセōゑ耕SΤ闽YAw]ゑ耕nC

SLIDE19Meningioma

1.Parasagittal

2.Convexity

5.Tentorial

6.skullbase

9.Foramanmagnum

10.Trigone.

福饯FAUWqOパ福饯XㄓFC福饯だThAパ~τずㄌOw福饯Aj碉呼饯Pn福饯C福饯FNOパい丁j碉呼饯柑党を（villi）┮XㄓCz阶WZOΤ福饯aよNiX福饯FCOㄆ龟W福饯Fnob@ㄇSaよ（pW瓜ボのkよ兜ヘ1-10）Aㄌm`LiだLP`场A程`ǎOparasagittalmeningiomaCj场だ福饯F常O}┦AΤ10%O妮c┦C}┦FAiHgもNЧち埃τB伐ぃ_oAiЧv隆Cc┦FhもN`ちぃЧB伐_oAぶ计ip砾g|锣簿C

SLIDE20-1ConvexityMeningioma（j福~凹福饯F）withhyperosteosis

ConvexityMeningiomaObj福FA程iま_碰w┪癸凹砰LOCパ福饯FO@恨┦FAΤh恨F[WSoCA丁@[N|boneWネ（福FSΤboneWネANΤiOmeningoma）

SLIDE20-2FalxMeningioma（j福T福饯F）

j福TO蛮h福饯┮cΘAbㄢj福い丁A@跋jオkj福nj卯C福饯F`bBAhbま_Yh单福溃W[Hの癸凹LO单gCFalxmenigoma@b@娩A]Τi阁癸凹hAр俱falxY奔C

SLIDE21ParasagittalMeningioma（ペu福饯F）withinvadedS.S.S

Wペu（SuperiorSagittalSinus）Ob福郴タい丁@兵jRAO福G|XBAD`nApG溃A|yΘIICPのY福~gC福饯FoネbBApG钡B笆跋hyΘ癸凹砰LOA碰wョODngC┪@凹砰v亥LOAoPいMLOn荡癸[H跋だCΤ@ㄇ洛v`р福饯Fま_砰LOΘいτ~Ff薄Co贺~E荡癸n磷KC]AZOv亥LOτDMLOA@wnσ{福FiCU瓜もNL{C

SLIDE22-1HighConvexityMeningiomawithperimassedema

福饯F恨D`伦IA`|ま_g瞅Y福~CSLIDE22-1ConvexityMeningiomawithextensivecalcification

iHǎ福饯F场だtて@

SLIDE23HugefalxMeningiomawithtremendousbloodsupply

MRAo福饯FGㄑ莱SO伦IA}M簿埃oネQだYXC@Angio

SLIDE24ParasagittalMeningiomawithrecurrence

PrimarytumorRecurrenttumor

福饯F瘤Mh}┦A]Τc┦跑てCWNO@c┦福饯FㄒlAfH{w`C

SLIDE25Clivusmenigioma（膀┏场福饯F）withsuccessfulremoval

@