Vakharia Kunal, Siasios Ioannis Dimitrios, Dorsch Alexander B, Leonardo Jody
Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, State University of New York, Buffalo, New York, USA.
Department of Neurosurgery, Buffalo General Medical Center - Kaleida Health, Buffalo, New York, USA.
Int J Crit Illn Inj Sci. 2017 Apr-Jun;7(2):126-128. doi: 10.4103/IJCIIS.IJCIIS_121_16.
Intraventricular rupture of craniopharyngioma cysts is an unusual event which is associated with a high risk of loculated or communicating hydrocephalus. A 75-year-old woman presented at the Emergency Department of our hospital with mental status deterioration due to chemical ventriculitis and acute hydrocephalus following the intraventricular rupture of a craniopharyngioma cyst. The patient was treated with stress-dose steroid therapy. In addition, she underwent placement of an external ventricular drain and endoscopy-assisted intra-cystic placement of an Ommaya reservoir for the aspiration of the cystic fluid. The patient's condition improved; she was shunted in an expeditious fashion and discharged from the Intensive Care Unit within 2 weeks of her admission with the reservoir in place for the continued drainage of the cyst.
颅咽管瘤囊肿的脑室内破裂是一种罕见事件，与局限性或交通性脑积水的高风险相关。一名75岁女性因颅咽管瘤囊肿脑室内破裂后发生化学性脑室炎和急性脑积水，出现精神状态恶化，就诊于我院急诊科。该患者接受了应激剂量的类固醇治疗。此外，她接受了外置脑室引流管置入术以及内镜辅助下向囊内放置Ommaya储液器以抽吸囊液。患者病情改善；她迅速接受了分流手术，并在入院后2周内从重症监护病房出院，此时储液器仍保留在位以持续引流囊肿。
