Yowtak June, Hughes Douglas, Heger Ian, Macomson Samuel D
Department of Neurosurgery, Georgia Regents University, Augusta, Georgia.
J Neurosurg Pediatr. 2014 Feb;13(2):151-4. doi: 10.3171/2013.11.PEDS12405. Epub 2013 Dec 13.
A 9-year-old boy with spina bifida, Chiari II malformation, and hydrocephalus presented with signs of increased intracranial pressure consistent with a shunt malfunction. Radiological investigations revealed an intracranial calcified lesion along the ventricular catheter. A shunt tap revealed a translucent milky white fluid. The patient underwent a ventriculostomy and, eventually, a shunt revision. Pathology findings were consistent with the formation of dystrophic calcification and a pseudocyst around the shunt catheter. Postoperatively, the patient returned to his neurological baseline. This is, to the best of the authors' knowledge, the first report of an intracranial calcified pseudocyst in a patient with normal renal function.
一名患有脊柱裂、Chiari II型畸形和脑积水的9岁男孩出现了与分流器故障相符的颅内压升高迹象。影像学检查显示沿脑室导管有一个颅内钙化病变。分流器穿刺抽出了半透明的乳白色液体。该患者接受了脑室造瘘术，并最终进行了分流器翻修。病理结果与分流导管周围营养不良性钙化和假性囊肿的形成一致。术后，患者恢复到了神经功能基线水平。据作者所知，这是肾功能正常患者颅内钙化假性囊肿的首例报告。
