Taptas J N, Kordiolis N, Charalambopoulos F
Neurochirurgie. 1978;24(2):113-6.
In a young man and a pregnant young woman presenting since childhood of tuberous sclerosis without epilepsy or mental disorders severe intracranial hypertension developped secondary to obstructive hydrocephalus. Ventriculo-peritoneal shunting unilateral in the first case, bilateral in the second, releaved the patients of all their symptoms. Angiographic studies in both cases showed the existence of extracerebral visceral lesions. After a short review of similar published cases and the proposed treatments the authors suggest as only treatment a shunting procedure without attempt of removal of intracerebral nodules.
在一名自幼患有结节性硬化症但无癫痫或精神障碍的年轻男性和一名怀孕的年轻女性中,因梗阻性脑积水继发严重颅内高压。第一例为单侧脑室 - 腹腔分流术,第二例为双侧,缓解了患者的所有症状。两例的血管造影研究均显示存在脑外内脏病变。在简要回顾了类似的已发表病例和建议的治疗方法后,作者建议唯一的治疗方法是分流手术,而不尝试切除脑内结节。