Filardi Tanya Z, Finn Laura, Gabikian Patrik, Giussani Carlo, Ebenezer Sudesh, Avellino Anthony M
Department of Neurological Surgery, Seattle Children's Hospital, University of Washington School of Medicine, Seattle, Washington 98105, USA.
J Neurosurg Pediatr. 2009 Dec;4(6):571-4. doi: 10.3171/2009.7.PEDS08247.
The authors present the case of an 11-week-old girl in whom hydrocephalus developed secondary to intermittent obstruction of the third ventricle by a choroid plexus cyst. The patient presented to the emergency department at the authors' institution with a 1-day history of projectile vomiting, lethargy, and dysconjugate gaze. Hydrocephalus was confirmed on head CT. During hospitalization, the symptoms resolved with a decrease in ventricular size. One week later, the patient again presented with similar symptoms, and MR images with 3D-constructive interference in steady state sequences revealed that a cyst was blocking the third ventricle. The patient subsequently underwent endoscopic fenestration of the cyst with resolution of hydrocephalus and symptoms. The authors present a unique description of the diagnosis of intermittent obstructive hydrocephalus caused by a third ventricular region choroid plexus cyst in an infant.
作者报告了一例11周大的女孩，其脑积水是由脉络丛囊肿间歇性阻塞第三脑室继发形成的。该患者因喷射性呕吐、嗜睡和眼球运动障碍1天，就诊于作者所在机构的急诊科。头部CT证实存在脑积水。住院期间，随着脑室大小减小，症状缓解。一周后，患者再次出现类似症状，稳态序列三维建设性干扰磁共振成像显示一个囊肿阻塞了第三脑室。该患者随后接受了囊肿内镜开窗术，脑积水和症状得以缓解。作者对婴儿第三脑室区域脉络丛囊肿引起的间歇性梗阻性脑积水的诊断进行了独特描述。
