全范围选项。
Full scope of options.
机构信息
Department of Neurosurgery, Emory University School of Medicine, Atlanta, Georgia 30322, USA.
出版信息
Neurosurgery. 2010 Jul;67(1):197-203; discussion 203-4. doi: 10.1227/01.NEU.0000370602.15820.E4.
OBJECTIVE
The purpose of Clinical Problem Solving articles is to present management challenges to give practicing neurosurgeons insight into how field leaders address these dilemmas. This illustration is accompanied by a brief review of the literature on the topic.
PRESENTATION
The case of a 16-year-old boy presenting with headaches is presented. The patient is found to have a typical colloid cyst at the foramen of Monro. Bilateral ventriculoperitoneal shunt placement had been performed as an initial treatment of the patient before presentation.
RESULTS
Surgeons experienced in open and endoscopic surgery discuss their individual approaches to colloid cysts, in the context of previous shunting, providing a varied perspective on the clinical challenges posed by these lesions.
CONCLUSION
Both open and endoscopic options remain viable for excision of a colloid cyst. Each has associated potential complications, as illustrated by the current case.
目的
临床问题解决文章的目的是提出管理挑战，让执业神经外科医生了解领域内的领导者如何解决这些困境。本文通过对该主题文献的简要回顾来说明问题。
介绍
本文呈现了一名 16 岁男孩头痛的病例。该患者在中脑导水管处发现典型的胶样囊肿。在就诊前，患者曾接受双侧脑室-腹腔分流术作为初始治疗。
结果
经验丰富的开颅手术和内镜手术医生讨论了他们各自对胶样囊肿的治疗方法，包括之前的分流术，并从不同角度探讨了这些病变带来的临床挑战。
结论
开颅和内镜手术切除胶样囊肿均为可行选择。每种方法都有潜在的并发症，如当前病例所示。
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