Kidani Naoya, Onishi Manabu, Kurozumi Kazuhiko, Date Isao
Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences.
Neurol Med Chir (Tokyo). 2014;54(7):582-6. doi: 10.2176/nmc.cr.2013-0092. Epub 2013 Dec 27.
Intracavernous sinus arachnoid cysts are rare intracranial congenital lesions. When present, their anatomic location frequently results in cranial nerve palsy. A 15-year-old boy was admitted to our hospital with diplopia, which had gradually worsened over the previous several months. An arachnoid cyst was identified within the right cavernous sinus and fenestration surgery was performed. The patient recovered well and three months after the surgery, diplopia was disappeared. Surgical decompression of the intracavernous sinus arachnoid cyst is beneficial for symptomatic patients with this condition.
海绵窦内蛛网膜囊肿是罕见的颅内先天性病变。一旦出现,其解剖位置常导致颅神经麻痹。一名15岁男孩因复视入院,复视在过去几个月中逐渐加重。在右侧海绵窦内发现一个蛛网膜囊肿,并进行了开窗手术。患者恢复良好,术后三个月复视消失。对有症状的海绵窦内蛛网膜囊肿患者进行手术减压是有益的。