内镜下第三脑室造瘘术是治疗Blake囊肿的一种安全有效的方法。
Endoscopic third ventriculostomy is a safe and effective procedure for the treatment of Blake's pouch cyst.
作者信息
Brusius Carlos Vicente, Cavalheiro Sergio
机构信息
Universidade Federal de São Paulo, Escola Paulista de Medicina, São Paulo SP.
出版信息
Arq Neuropsiquiatr. 2013 Aug;71(8):545-8. doi: 10.1590/0004-282X20130086.
OBJECTIVE
Blake's pouch cyst (BPC) is a midline cystic malformation of the posterior fossa, within Dandy-Walker's complex (DWC), often associated with hydrocephalus. Endoscopic third ventriculostomy (ETV) has been an alternative to conventional methods for BPC treatment. This study aimed at reporting our experience with ETV in a series of patients with BPC.
METHODS
Of 33 patients diagnosed with midline posterior fossa cyst, 26 met the protocol criteria for DWC, and eight subjects with BPC were selected (aged one month to two years old). All cases were treated with ETV.
RESULTS
Five patients were male; and three were prenatally diagnosed. They had hydrocephalus and motor deficiencies. Motor assessment at a five-year follow-up yielded normal findings. All patients improved, and only one had residual cognitive dysfunction, despite overall neurological improvement. There were no complications.
CONCLUSIONS
ETV was a safe and effective procedure, reducing risks and morbidity associated with open surgery and shunt-related problems.
目的
布莱克氏囊肿（BPC）是后颅窝的一种中线囊性畸形，位于丹迪-沃克复合体（DWC）内，常与脑积水相关。内镜下第三脑室造瘘术（ETV）已成为治疗BPC的传统方法的替代方案。本研究旨在报告我们在一系列BPC患者中应用ETV的经验。
方法
在33例被诊断为后颅窝中线囊肿的患者中，26例符合DWC的方案标准，选取8例BPC患者（年龄1个月至2岁）。所有病例均接受ETV治疗。
结果
5例为男性；3例为产前诊断。他们患有脑积水和运动功能缺陷。五年随访时的运动评估结果正常。尽管总体神经功能有所改善，但所有患者均有好转，只有1例存在残留的认知功能障碍。无并发症发生。
结论
ETV是一种安全有效的手术，可降低与开放手术及分流相关问题相关的风险和发病率。
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