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颅内蛛网膜囊肿破裂继发硬脑膜下积液:2例病例描述及文献复习

Subdural hygroma secondary to rupture of an intracranial arachnoid cyst: description of 2cases and review of the literature.

作者信息

García Romero Juan Carlos, Ortega Martínez Rodrigo, Zabalo San Juan Gorka, de Frutos Marcos Daniel, Zazpe Cenoz Idoya

机构信息

Servicio de Neurocirugía, Complejo Hospitalario de Navarra, Pamplona, España.

Servicio de Neurocirugía, Complejo Hospitalario de Navarra, Pamplona, España.

出版信息

Neurocirugia (Engl Ed). 2018 Sep-Oct;29(5):260-264. doi: 10.1016/j.neucir.2018.02.003. Epub 2018 Apr 5.

Abstract

The appearance of a subdural hygroma after the rupture of an arachnoid cyst wall is extremely rare, with very few cases described in the literature. Most cases are due to a traumatic cause. The therapeutic approach in symptomatic cases is controversial, with a current tendency toward conservative management initially. In those cases that require surgical treatment, multiple therapeutic options are available, with fenestration techniques being recommended as first-line treatment. We describe 2cases treated in our centre and review the literature.

摘要

蛛网膜囊肿壁破裂后出现硬膜下积液极为罕见,文献中描述的病例极少。大多数病例是由外伤引起的。有症状病例的治疗方法存在争议,目前倾向于首先进行保守治疗。在那些需要手术治疗的病例中,有多种治疗选择,开窗技术被推荐为一线治疗方法。我们描述了在我们中心治疗的2例病例并对文献进行了综述。

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