表现为无菌性脑膜炎的巨大渗漏性胶体囊肿：文献综述及病例报告
Giant Leaking Colloid Cyst Presenting with Aseptic Meningitis: Review of the Literature and Report of a Case.
作者信息
Bakhtevari Mehrdad Hosseinzadeh, Sharifi Guive, Jabbari Reza, Shafizad Misagh, Rezaei Mona, Samadian Mohammad, Rezaei Omidvar
机构信息
Department of Neurosurgery, Loghman e Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Department of Neurosurgery, Loghman e Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
出版信息
World Neurosurg. 2015 Dec;84(6):1997-2001. doi: 10.1016/j.wneu.2015.06.064. Epub 2015 Jul 2.
BACKGROUND
Colloid cysts are benign third ventricle lesions that need to be diagnosed correctly because of their association with sudden death. Chemical or aseptic meningitis is a rare presentation of a colloid cyst.
METHODS
We present a case of a 69-year-old man with fever, alteration of mental status, and meningismus. Microbiological examination of the cerebrospinal fluid revealed aseptic meningitis. Brain imaging revealed a third ventricular colloid cyst with hydrocephalus.
RESULTS
The tumor was resected via endoscopic intervention. There were no persistent operative complications related to the endoscopic procedure.
CONCLUSIONS
Chemical or aseptic meningitis is an unusual clinical manifestation of a colloid cyst, complicating the differential diagnosis, especially in the elderly.
背景
胶样囊肿是第三脑室的良性病变，因其与猝死相关，故需正确诊断。化学性或无菌性脑膜炎是胶样囊肿的一种罕见表现。
方法
我们报告一例69岁男性患者，有发热、精神状态改变及颈项强直。脑脊液微生物学检查显示为无菌性脑膜炎。脑部影像学检查发现第三脑室胶样囊肿伴脑积水。
结果
通过内镜干预切除肿瘤。未出现与内镜手术相关的持续性手术并发症。
结论
化学性或无菌性脑膜炎是胶样囊肿的一种不寻常临床表现，使鉴别诊断复杂化，尤其是在老年人中。
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