Solaroglu Ihsan, Algin Oktay, Caylak Berrin, Keles G Evren
Koc University, School of Medicine, Department of Neurosurgery, Istanbul, Turkey.
Turk Neurosurg. 2014;24(2):284-7. doi: 10.5137/1019-5149.JTN.7909-13.1.
Intracranial bronchogenic cysts (BCs) are uncommon, and BCs at the craniocervical junction are extremely rare. These lesions are most frequently encountered in the cervico-thoracic region of the spine. Their pathogenesis is still poorly understood. Regardless of the surgical approach, the aim of surgery should be total removal of the cyst and its content, whenever feasible. In this case report, a 50-year-old patient with a BC of the craniocervical junction is presented. The patient was operated on through a right-sided suboccipital retrosigmoid approach. The uniform layer of pseudostratified, ciliated and mucus-secreting columnar cells was seen on histological examination. The clinical manifestations, diagnosis, and treatment of this unusual condition are discussed.
颅内支气管源性囊肿(BCs)并不常见,而颅颈交界处的BCs极为罕见。这些病变最常出现在脊柱的颈胸段。其发病机制仍知之甚少。无论采用何种手术方式,只要可行,手术的目的都应是完整切除囊肿及其内容物。在本病例报告中,介绍了一名患有颅颈交界处BCs的50岁患者。该患者通过右侧枕下乙状窦后入路进行手术。组织学检查可见一层均匀的假复层、有纤毛且分泌黏液的柱状细胞。本文讨论了这种罕见病症的临床表现、诊断及治疗。