脊髓内室管膜囊肿：一例报告
Spinal intramedullary ependymal cyst: a case report.
作者信息
Iwahashi H, Kawai S, Watabe Y, Chitoku S, Akita N, Fuji T, Oda T
机构信息
Department of Neurosurgery, Osaka Prefectural Hospital, Japan.
出版信息
Surg Neurol. 1999 Oct;52(4):357-61. doi: 10.1016/s0090-3019(99)00097-x.
BACKGROUND
Spinal intramedullary ependymal cysts are extremely rare. Only seven pathologically proven cases have been reported in the literature.
METHOD
We present an 18-month-old female with thoracic spinal intramedullary ependymal cyst that was diagnosed pathologically.
RESULTS
Histological diagnosis was made by light microscopy after immunostaining. After partially removing the cyst wall and establishing communication between the cyst and the subarachnoid space, the patient improved neurologically.
CONCLUSIONS
For spinal intramedullary ependymal cyst we recommend diagnosis by MR imaging without myelography, then enucleation of the cyst, if possible. Otherwise, we remove the cyst wall as much as possible and create adequate communication between the cyst and the subarachnoid space.
背景
脊髓内室管膜囊肿极为罕见。文献中仅报道了7例经病理证实的病例。
方法
我们报告一例18个月大的患有胸段脊髓内室管膜囊肿的女性患者，该囊肿经病理诊断。
结果
免疫染色后通过光学显微镜进行组织学诊断。在部分切除囊肿壁并建立囊肿与蛛网膜下腔之间的交通后，患者神经功能得到改善。
结论
对于脊髓内室管膜囊肿，我们建议通过磁共振成像而非脊髓造影进行诊断，若可能则行囊肿摘除术。否则，我们尽可能切除囊肿壁并在囊肿与蛛网膜下腔之间建立充分的交通。
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