Tange Y, Aoki A, Mori K, Niijima S, Maeda M
Department of Neurosurgery, Juntendo University, Izunagaoka Hospital, Shizuoka.
Neurol Med Chir (Tokyo). 2000 Oct;40(10):536-42. doi: 10.2176/nmc.40.536.
A male neonate was admitted because prenatal ultrasonography indicated central nervous system abnormalities. Neurological examination showed no abnormality except for electroencephalographic spike activities. Magnetic resonance imaging revealed a cystic lesion in the left interhemispheric fissure, agenesis of the corpus callosum, and microgyria in the left frontotemporal lobes. Cerebral blood flow (CBF) was diffusely reduced. The cyst wall was partially removed and a cyst-peritoneal shunt procedure was performed. The histological diagnosis was glioependymal cyst. The spike activity disappeared and CBF dramatically improved after the operation.
一名男婴因产前超声检查显示中枢神经系统异常而入院。神经系统检查除脑电图有棘波活动外无异常。磁共振成像显示左侧大脑半球间裂有一个囊性病变、胼胝体发育不全以及左侧额颞叶有微小脑回。脑血流量(CBF)普遍减少。部分切除囊肿壁并进行了囊肿 - 腹腔分流术。组织学诊断为神经胶质室管膜囊肿。术后棘波活动消失,脑血流量显著改善。