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前颅窝神经肠上皮囊肿:病例报告及文献复习。

Neurenteric cyst of the anterior cranial fossa: case report and literature review.

机构信息

Department of Neurosurgery, Addenbrooke's Hospital, Cambridge CB2 0QQ, UK.

出版信息

Acta Neurochir (Wien). 2011 Jul;153(7):1519-25. doi: 10.1007/s00701-011-1041-2. Epub 2011 May 13.

Abstract

Intracranial neurenteric cysts are rare congenital lesions that typically occur in the posterior fossa. We report a case of a 70-year-old gentleman presenting with gait disturbance, found to have a neurenteric cyst primarily arising from and expanding the sella turcica. A review of the literature revealed 27 reports of supratentorial neurenteric cysts. Clinical presentation, radiological characteristics, treatment, prognosis and embryological origin are discussed. Intracranial neurenteric cysts should be included in the differential with any well-demarcated cystic lesion without enhancement on magnetic resonance imaging (MRI). Complete surgical excision is the treatment of choice, with good prognosis.

摘要

颅内肠神经上皮囊肿是一种罕见的先天性病变,通常发生在后颅窝。我们报告了一例 70 岁男性,表现为步态障碍,发现有一个肠神经上皮囊肿主要起源于并扩大鞍上区。文献复习显示 27 例幕上肠神经上皮囊肿的报告。讨论了临床表现、影像学特征、治疗、预后和胚胎起源。颅内肠神经上皮囊肿在磁共振成像(MRI)上无强化的任何界限清楚的囊性病变的鉴别诊断中应包括在内。完全手术切除是首选的治疗方法,预后良好。

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