Rogers M A, Klug G L, Siu K H
Department of Neurosurgery, Royal Children's Hospital, Melbourne, Australia.
Br J Neurosurg. 1990;4(6):497-502. doi: 10.3109/02688699008993799.
Subdural haematomas occur in association with arachnoid cysts. Six cases of subdural haematoma are reported in 18 patients with previously asymptomatic middle fossa arachnoid cysts. A review of this patient population and the literature in respect of pathogenesis and treatment of arachnoid cysts was made. Cysto-peritoneal shunt is recommended as the surgical treatment after evacuation of the haematoma. The aetiology of haematoma formation has not been conclusively described, but may partly result from a high pressure intracranial system with decreased compliance.
硬膜下血肿与蛛网膜囊肿相关。本文报道了18例既往无症状的中颅窝蛛网膜囊肿患者中有6例发生硬膜下血肿。对该患者群体以及关于蛛网膜囊肿发病机制和治疗的文献进行了综述。建议在血肿清除后行囊肿 - 腹腔分流术作为手术治疗方法。血肿形成的病因尚未有定论，但可能部分是由于颅内压系统压力升高且顺应性降低所致。
