[被困颞角，一种不寻常的梗阻性脑积水形式：5例病例报告]
[Trapped temporal horn, an unusual form of obstructive hydrocephalus: 5 case-reports].
作者信息
Abderrahmen K, Gdoura Y, Kallel J, Jemel H
机构信息
Service de neurochirurgie, Institut national de neurologie, faculté de médecine, université Tunis-Al Manar, rue Jebbari, 1007 Rabta, Tunis, Tunisie.
Service de neurochirurgie, Institut national de neurologie, faculté de médecine, université Tunis-Al Manar, rue Jebbari, 1007 Rabta, Tunis, Tunisie.
出版信息
Neurochirurgie. 2016 Apr;62(2):108-12. doi: 10.1016/j.neuchi.2015.09.001. Epub 2015 Dec 14.
OBJECTIVE
"Entrapped temporal horn" is an unusual form of obstructive hydrocephalus which is due to an obstacle at the trigone of the lateral ventricle that seals off the temporal horn that may act as a space occupying process. In this study, our aim was to assess the clinical presentation, imaging, pathophysiology and the management of this entity.
METHODS
The medical records of patients with entrapped temporal horn diagnosed between January 2003 and December 2012 were reviewed retrospectively.
RESULTS
Five patients were identified. In four cases, the condition developed after cranial surgery; an infant having two revisions of a ventriculoperitoneal shunt; an adult operated for a glioblastoma, an infant operated on for cerebral hydatidosis and an infant operated for an occipital encephalocele. In the last patient, the entrapped temporal horn revealed sarcoidosis.
CONCLUSIONS
Trapped temporal horn syndrome can act as a space occupying process and requires surgical management. Internal shunting provides good results. However, the long term outcome depends on the etiology.
目的
“颞角受压”是梗阻性脑积水的一种罕见形式，其病因是侧脑室三角区出现阻碍，导致颞角封闭，这可能是一种占位性病变。在本研究中，我们的目的是评估该疾病的临床表现、影像学表现、病理生理学及治疗方法。
方法
回顾性分析2003年1月至2012年12月间诊断为颞角受压患者的病历。
结果
共确定5例患者。其中4例在颅脑手术后发病，包括1例接受了两次脑室腹腔分流术翻修的婴儿、1例因胶质母细胞瘤接受手术的成年人、1例因脑包虫病接受手术的婴儿以及1例因枕部脑膨出接受手术的婴儿。最后1例患者的颞角受压是由结节病引起。
结论
颞角受压综合征可作为一种占位性病变，需要手术治疗。内分流术效果良好。然而，长期预后取决于病因。
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