中国现代神经疾病杂志 ›› 2020, Vol. 20 ›› Issue (7): 655-658. doi: 10.3969/j.issn.1672-6731.2020.07.017

• 综述 • 上一篇    下一篇

2 局灶性皮质发育不良Ⅱ型与组织学相似疾病的病理学鉴别诊断要点

李海南1, 李智2   

  1. 1 510510 广州, 广东三九脑科医院病理科;
    2 510080 广州, 广东省人民医院病理科
  • 收稿日期:2020-07-10 出版日期:2020-07-25 发布日期:2020-07-24
  • 通讯作者: 李智,Email:lizhi@mail.sysu.edu.cn
  • 基金资助:

    广东省自然科学基金资助项目(2017A030313779);广东省医学科学技术研究基金资助项目(项目编号:A2019315)

Pathological differential diagnosis of focal cortical dysplasia type Ⅱ and its mimic lesions

LI Hai-nan1, LI Zhi2   

  1. 1 Department of Pathology, Guangdong Sanjiu Brain Hospital, Guangzhou 510510, Guangdong, China;
    2 Department of Pathology, Guangdong Provincial People's Hospital, Guangzhou 510080, Guangdong, China
  • Received:2020-07-10 Online:2020-07-25 Published:2020-07-24
  • Supported by:

    This study was supported by the Natural Science Foundation of Guangdong Province (No. 2017A030313779) and Medical Scientific Research Foundation of Guangdong Province (No. A2019315).

摘要:

皮质发育畸形是一种临床常见的难治性癫癎,而局灶性皮质发育不良Ⅱ型(FCDⅡ型)则是其最具组织学特征的类型,准确甄别FCDⅡ型具有重要临床价值。然而,似结节性硬化症、半侧巨脑症等癫癎相关疾病的组织学形态和免疫表型与FCDⅡ型存在不同程度的重叠。本文拟结合最新研究进展和自身工作体会阐述如何通过组织学形态鉴别诊断FCDⅡ型与半侧巨脑症、结节性硬化症,并更好地理解它们之间的关系。

关键词: 皮质发育畸形, Ⅱ组, 神经节瘤, 神经节神经胶质瘤, 结节性硬化症, 诊断, 鉴别, 病理学, 综述

Abstract:

Malformation of cortical development (MCD) accounts for the majority of drug-resistant epilepsy, focal cortical dysplasia typeⅡ(FCDⅡ) is the most common and most characteristic. It is of great significance to correct diagnosis for FCD Ⅱ. However, there are so many diseases which are similar with FCD Ⅱ in morphology and immune phenotype, such as tuberous sclerosis complex (TSC), hemimegalencephaly (HME), etc. In this paper, based on the latest research progress and our experience, we will introduce their relationship and explain how to distinguish them histologically.

Key words: Malformations of cortical development, group Ⅱ, Ganglioneuroma, Ganglioglioma, Tuberous sclerosis, Diagnosis, differential, Pathology, Review