Uematsu Y, Kubo K, Nishibayashi T, Ozaki F, Nakai K, Itakura T
Department of Neurological Surgery, Wakayama Medical College, Wakayama City, Japan.
Pediatr Neurosurg. 2000 Jul;33(1):31-6. doi: 10.1159/000028972.
This report describes a neonatal case in whom a large interhemispheric cyst associated with agenesis of the corpus callosum was revealed by fetal ultrasonography and demonstrated by MRI to be multilobulated. Endoscopic fenestration of cysts was initially designed in view of the development of the patient's brain and surgical invasiveness. One year later, when motor paresis of the left arm and progressive enlargement of the cyst on MRI were revealed, open surgery was performed. The histological diagnosis was a neuroepithelial cyst with the feature of choroid plexus epithelia. The clinicopathological features of interhemispheric epithelial cysts associated with agenesis of the corpus callosum are reviewed in the light of differential diagnosis and therapeutic considerations.
本报告描述了一例新生儿病例,胎儿超声检查发现其存在与胼胝体发育不全相关的巨大半球间囊肿,MRI显示该囊肿为多叶状。鉴于患儿脑部发育情况及手术侵袭性,最初设计了囊肿内镜开窗术。一年后,当患儿出现左臂运动性轻瘫且MRI显示囊肿进行性增大时,实施了开颅手术。组织学诊断为具有脉络丛上皮特征的神经上皮囊肿。结合鉴别诊断和治疗考量,对与胼胝体发育不全相关的半球间上皮囊肿的临床病理特征进行了综述。