颅内蛛网膜囊肿：小儿神经外科学进展
Intracranial arachnoid cysts: Pediatric neurosurgery update.
作者信息
Jafrani Ryan, Raskin Jeffrey S, Kaufman Ascher, Lam Sandi
机构信息
Department of Neurosurgery, Penn State Hershey Medical Center, Hershey, Pennsylvania, United States.
Department of Neurological Surgery, Indiana University School of Medicine, Section of Pediatric Neurosurgery, Riley Hospital for Children, Goodman Campbell Brain and Spine, Indianapolis, Indiana, United States.
出版信息
Surg Neurol Int. 2019 Feb 6;10:15. doi: 10.4103/sni.sni_320_18. eCollection 2019.
BACKGROUND
With the greater worldwide availability of neuroimaging, more intracranial arachnoid cysts (IACs) are being found in all age groups. A subset of these lesions become symptomatic and requires neurosurgical management. The clinical presentations of IACs vary from asymptomatic to extremely symptomatic. Here, we reviewed the clinical presentation and treatment considerations for pediatric IACs.
CASE DESCRIPTION
Here, we presented three cases of IAC, focusing on different clinical and treatment considerations.
CONCLUSION
IACs can be challenging to manage. There is no Class I Evidence to guide how these should be treated. We suggest clinical decision-making framework as to how to treat IACs based on our understanding of the natural history, risks/benefits of treatments, and outcomes in the future, require better patient selection for the surgical management of IACs will be warranted.
背景
随着神经影像学在全球范围内的更广泛应用，各年龄组中发现的颅内蛛网膜囊肿（IAC）越来越多。这些病变中的一部分会出现症状，需要神经外科治疗。IAC的临床表现从无症状到症状极为严重不等。在此，我们回顾了小儿IAC的临床表现及治疗考量。
病例描述
在此，我们呈现了3例IAC病例，重点关注不同的临床及治疗考量。
结论
IAC的治疗颇具挑战性。尚无I类证据可指导其治疗方式。我们基于对自然病史、治疗的风险/益处及未来结局的理解，提出了一个关于如何治疗IAC的临床决策框架，未来需要更好地选择患者以确保IAC的手术治疗是合理的。
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