Van Beijnum Janneke, Hanlo Patrick W, Han K Sen, Ludo Van der Pol W, Verdaasdonk Rudolf M, Van Nieuwenhuizen Onno
Department of Neurosurgery, University Medical Center, Utrecht, The Netherlands.
J Neurosurg. 2006 May;104(5 Suppl):348-51. doi: 10.3171/ped.2006.104.5.348.
The authors present the case of a 2-year-old boy with bobble-head doll syndrome (BHDS) associated with a large suprasellar arachnoid cyst and enlarged ventricles, who was successfully treated with neuronavigated laser-assisted endoscopic ventriculocystocisternostomy. The clinical history, surgical treatment, and clinical follow up of the patient are described. A navigated laser-assisted endoscopic ventriculocystocisternostomy of the suprasellar arachnoid cyst led to cessation of the head bobbing, and notable reduction of the cyst and ventricles was visible on the postoperative magnetic resonance images. Caused by a suprasellar arachnoid cyst, BHDS can be successfully treated with navigated laser-assisted endoscopic ventriculocystocisternostomy. The advantages of this procedure are minimal invasiveness and facilitated guidance of the neuronavigation system to the target area when normal anatomical landmarks are not visible.
作者报告了一例2岁男孩，患有点头娃娃综合征（BHDS），伴有巨大鞍上蛛网膜囊肿和脑室扩大，经神经导航激光辅助内镜下脑室囊肿脑池造瘘术成功治疗。描述了该患者的临床病史、手术治疗及临床随访情况。对鞍上蛛网膜囊肿进行神经导航激光辅助内镜下脑室囊肿脑池造瘘术后，头部摆动停止，术后磁共振成像可见囊肿和脑室明显缩小。由鞍上蛛网膜囊肿引起的BHDS，可通过神经导航激光辅助内镜下脑室囊肿脑池造瘘术成功治疗。该手术的优点是创伤极小，在正常解剖标志不可见时，便于神经导航系统引导至目标区域。
