Zennaro O, San-Gali F, Darrouzet V, Kien P, Dautheribes M, Guérin J, Bébéar J P
C.H.R.U. Pellegrin, Service de Neurochirurgie, Bordeaux, France.
Rev Laryngol Otol Rhinol (Bord). 1992;113(1):47-50.
The authors report two cases of arachnoid cysts of the cerebello-pontine angle. The otologic symptoms were unsteadiness, hearing fall and tinnitus. In the first case, the patient who presented a cerebellar syndrome was operated. Afterwards the hearing felt and he developed a transient hydrocephalus. The symptoms disappeared in 9 months. In the second cas, the patient was not operated. She was treated medically and supervised. Then the symptoms disappeared too. The authors review the paraclinic exams especially MR, relevant to the diagnosis and discuss the opportunity of a surgical operation.
作者报告了两例桥小脑角蛛网膜囊肿病例。耳部症状为步态不稳、听力下降和耳鸣。第一例患者表现为小脑综合征,接受了手术治疗。术后听力下降,并发短暂性脑积水。症状在9个月后消失。第二例患者未接受手术,接受了药物治疗和观察,症状也随之消失。作者回顾了与诊断相关的辅助检查,尤其是磁共振成像(MR),并讨论了手术时机。