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神经导航引导下经脑室镜治疗侧脑室脉络丛症状性黄色肉芽肿

Neuronavigator-guided ventriculoscopic approach for symptomatic xanthogranuloma of the choroid plexus in the lateral ventricle.

作者信息

Yan Chengrui, Zhu Shan, Sun Haitao, Jenn Wan-Ting Lee, Zhang Xiaoying, Xu Zongsheng, Kong Xiangyi, Chen Xiaolin

机构信息

Department of Neurosurgery, Peking University International Hospital.

Department of Obstetrics and Gynecology, Peking Union Medical Collage Hospital, Chinese Academy of Medical Sciences.

出版信息

Medicine (Baltimore). 2019 Apr;98(16):e14718. doi: 10.1097/MD.0000000000014718.

Abstract

Xanthogranuloma of choroid plexus is an extremely rare, benign, and mostly asymptomatic intracranial lesion. We report a case of symptomatic lateral ventricular xanthogranuloma resected via a neuronavigator-guided ventriculoscopic approach. Then we review recent English medical literature and notice that craniotomies have been the most popular treatment. But our choice of a ventriculoscopic approach possesses unique advantages such as minimized neural tissue damage, shortened operative time, less blood loss, and safer access to central structures over conventional open surgeries. Informed consent has been obtained from the patient and his immediate family regarding this case report.

摘要

脉络丛黄色肉芽肿是一种极其罕见的良性颅内病变,大多无症状。我们报告一例通过神经导航引导的脑室镜手术切除的有症状的侧脑室黄色肉芽肿病例。然后我们回顾了近期的英文医学文献,发现开颅手术一直是最常用的治疗方法。但我们选择的脑室镜手术方法具有独特优势,如与传统开放手术相比,神经组织损伤最小、手术时间缩短、失血更少以及进入中心结构更安全。已就本病例报告获得患者及其直系亲属的知情同意。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/91af/6494259/a477f948cc49/medi-98-e14718-g001.jpg

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