Salmasi Vafi, Blitz Ari M, Ishii Masaru, Gallia Gary L
Department of Neurosurgery, Johns Hopkins Hospital, Baltimore, MD 21287, USA.
Childs Nerv Syst. 2011 Apr;27(4):649-56. doi: 10.1007/s00381-010-1341-5. Epub 2010 Dec 4.
Aneurysmal bone cysts (ABCs) are uncommon non-neoplastic, hemorrhagic, and expansile osseous lesions. These lesions most commonly occur in the first two decades of life and affect the long bones and spinal column. Skull base involvement is rare. The authors report the case of a 16-year-old boy who presented with acute visual decline and was found to have a large skull base ABC centered in the sphenoid sinus. In addition, the patient had extensive cranial fibrous dysplasia. The patient underwent a staged expanded endonasal endoscopic approach for complete resection of this lesion with excellent return of his vision. This case adds to the growing body of evidence supporting a role for expanded endonasal endoscopic procedures in pediatric patients with skull base pathologies.
骨囊肿（ABCs）是一种罕见的非肿瘤性、出血性、膨胀性骨病变。这些病变最常发生在生命的前二十年，累及长骨和脊柱。颅底受累罕见。作者报告了一例16岁男孩，该男孩出现急性视力下降，经检查发现蝶窦有一个以颅底为中心的大型骨囊肿。此外，该患者还患有广泛的颅骨纤维发育不良。患者接受了分期扩大鼻内镜手术，以完全切除该病变，术后视力恢复良好。该病例为支持扩大鼻内镜手术在患有颅底病变的儿科患者中发挥作用的证据增添了新内容。
