Laviv Yosef, Neto Sergio, Kasper Ekkehard M
a Division of Neurosurgery, Beth Israel Deaconess Medical Center, Harvard Medical School , Boston , MA , USA.
b Division of Neurosurgery, University of Sao Paulo Medical School , Sao Paulo , Brazil.
Br J Neurosurg. 2019 Aug;33(4):418-421. doi: 10.1080/02688697.2017.1344618. Epub 2017 Jun 23.
Quadrigeminal arachnoid cysts (QAC) are usually accompanied by a symptomatic obstructive hydrocephalus. Several endoscopic and surgical treatments exist; however, the critical location of these cysts further complicates treatment and usually more than one procedure is required. In this report, a 31 year old female with QAC and associated obstructive hydrocephalus was successfully treated with stereotactic placement of a permanent ventricular - cystic stent (intraventricualr - cystic catheterization) in single - session. Intraventricular - cystic stenting provides a long lasting communication between these two compartments, allowing persistent "physiologic" solution to this challenging condition.
四叠体蛛网膜囊肿（QAC）通常伴有症状性梗阻性脑积水。现有多种内镜和手术治疗方法；然而，这些囊肿的关键位置使治疗更加复杂，通常需要不止一种手术。在本报告中，一名患有QAC及相关梗阻性脑积水的31岁女性通过单次立体定向置入永久性脑室-囊肿支架（脑室内-囊肿置管）成功治愈。脑室内-囊肿置管在这两个腔隙之间建立了持久的连通，为这种具有挑战性的病症提供了持续的“生理性”解决方案。
