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伴有鼻皮样窦的罕见先天性幕上神经肠囊肿的神经外科治疗:病例报告

Neurosurgical management of a rare congenital supratentorial neurenteric cyst with associated nasal dermal sinus: case report.

作者信息

MacMahon Paul, Iacob Stanca, Bach Sarah E, Elwood Eric T, Lin Julian J, Avellino Anthony M

机构信息

Departments of1Neurosurgery.

Departments of2Neurosurgery and.

出版信息

J Neurosurg Pediatr. 2017 Dec;20(6):521-525. doi: 10.3171/2017.7.PEDS17123. Epub 2017 Sep 15.

Abstract

The authors describe the case of a patient with the classic clinical presentation and radiographic features of a nasal dermal sinus with an associated intracranial cyst; however, histopathology revealed that the intracranial cyst was neurenteric instead of the typical epidermoid or dermoid cyst. Preoperative assessment included CT and MRI, which revealed a direct communication between the patient's nasal polypoid lesion and the anterior skull base via the foramen cecum. At the hands of a multidisciplinary plastic surgery and neurosurgery team, the patient underwent concurrent gross-total resection of the nasal polypoid lesion, the intracranial intradural cystic lesion, and their interconnecting tract.

摘要

作者描述了一例具有鼻皮样窦合并颅内囊肿典型临床表现和影像学特征的患者;然而,组织病理学显示颅内囊肿为神经肠源性囊肿,而非典型的表皮样囊肿或皮样囊肿。术前评估包括CT和MRI,结果显示患者的鼻息肉样病变通过盲孔与前颅底直接相通。在一个多学科整形手术和神经外科团队的操作下,患者同时接受了鼻息肉样病变、颅内硬膜内囊性病变及其相连通道的大体全切术。

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