Perrini P, Rutherford S A, King A T, du Plessis D, Di Lorenzo N
Department of Neurosurgery, Hope Hospital, Salford, Manchester, UK.
Acta Neurochir (Wien). 2008 Feb;150(2):177-84; discussion 184. doi: 10.1007/s00701-007-1483-8. Epub 2008 Jan 8.
Intracranial enterogenous cysts are an uncommon entity rarely found in the midline within the posterior cranial fossa. The occurrence of an enterogenous cyst in the cerebellopontine angle is exceptional. We present two new cases of cerebellopontine angle (CPA) enterogenous cysts and review the literature to clarify the diagnosis and the management of these lesions. Eighteen cases of CPA intradural enterogenous cysts have been reported to date, including the two cases presented in this article. All of them were symptomatic and underwent surgical treatment. After surgery, the symptomatic recurrence occurred in 31% of the patients, most of which had partial excision. Considering our patients and the published cases in the literature we suggest that the aim of surgery should be total removal of cyst and its content whenever possible. When partial resection of the cyst is performed, we recommend long-term clinical and neuroradiological follow-up.
颅内肠源性囊肿是一种罕见的病变,很少见于后颅窝中线部位。发生于桥小脑角的肠源性囊肿则更为罕见。我们报告两例桥小脑角肠源性囊肿的新病例,并复习相关文献以明确这些病变的诊断和治疗。迄今为止,已报道18例桥小脑角硬膜内肠源性囊肿,包括本文所报告的两例。所有病例均有症状并接受了手术治疗。术后,31%的患者出现症状复发,其中大多数患者接受的是部分切除术。结合我们的病例以及文献中已发表的病例,我们建议手术的目标应是尽可能完整切除囊肿及其内容物。当进行囊肿部分切除时,我们建议进行长期的临床和神经放射学随访。