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继发性蛛网膜囊肿——开颅手术的晚期并发症:一例病例报告及文献综述

Secondary Arachnoid Cyst - A Late Complication of Craniotomy: A Case Report and Review of Literature.

作者信息

Osman Mostafa, Diraz Ahmed

机构信息

Department Of Neurosurgery, Dr. Soliman Fakeeh Hospital, Jeddah, Saudi Arabia.

出版信息

Asian J Neurosurg. 2018 Oct-Dec;13(4):1273-1275. doi: 10.4103/ajns.AJNS_68_18.

Abstract

Arachnoid cyst can be defined as cerebral-spinal fluid entrapment within the central nervous system. It may occur primarily as a congenital malformation or secondary as a complication following trauma, infection, bleeding, or surgical manipulation. Congenital arachnoid cyst usually asymptomatic and cause no pressure symptoms. No treatment is needed unless size increase and cause pressure symptoms and increased intracranial pressure. We report a case presented to the hospital with neurological signs of increased intracranial pressure, 3 years Post aborted craniotomy for meningioma resection. Radiological imaging showed postoperative newly developed arachnoid cyst with mass effect. He underwent the urgent cerebral spinal fluid diversionary procedure with cystoperitoneal shunt.

摘要

蛛网膜囊肿可定义为中枢神经系统内脑脊液的潴留。它可能主要作为先天性畸形出现,或继发于创伤、感染、出血或手术操作后的并发症。先天性蛛网膜囊肿通常无症状,不会引起压迫症状。除非囊肿增大并引起压迫症状和颅内压升高,否则无需治疗。我们报告一例患者,在脑膜瘤切除术后颅骨切开术失败3年后,因颅内压升高的神经症状入院。影像学检查显示术后新出现的有占位效应的蛛网膜囊肿。他接受了紧急脑脊液分流术,即囊肿-腹腔分流术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c378/6208232/3e8ca9077d46/AJNS-13-1273-g001.jpg

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