Seizeur R, Forlodou P, Coustans M, Dam-Hieu P
Department of Neurosurgery, University Medical Center, Brest, France.
Acta Neurochir (Wien). 2007 Jan;149(1):75-8; discussion 78. doi: 10.1007/s00701-006-1073-1. Epub 2006 Dec 21.
Most intra-cranial arachnoid cysts are quiescent and remain asymptomatic throughout life. Within the natural course of arachnoid cyst evolution, spontaneous resolution has been known to occur rarely, but its frequency is probably underestimated due to lack of systematic detection and long-term observation. We illustrate the spontaneous regression of arachnoid cysts with a patient which was conjointly diagnosed with an arachnoid cyst and a post-traumatic epidural haematoma. Cyst regression was observed 16 months later, upon examination following a second benign cranial trauma. Mechanisms underlying the resolution of the arachnoid cyst are discussed.
大多数颅内蛛网膜囊肿处于静止状态,终生无症状。在蛛网膜囊肿演变的自然过程中,自发消退很少见,但由于缺乏系统检测和长期观察,其发生频率可能被低估。我们通过一名同时被诊断为蛛网膜囊肿和创伤后硬膜外血肿的患者,来说明蛛网膜囊肿的自发消退情况。在第二次良性颅脑创伤后的检查中,16个月后观察到囊肿消退。本文还讨论了蛛网膜囊肿消退的潜在机制。