Wiemer D R
Division of Plastic Surgery, Baylor College of Medicine, Houston, TX 77030.
Ann Plast Surg. 1988 Nov;21(5):465-7. doi: 10.1097/00000637-198811000-00012.
A rare case of an occipital dermoid sinus in a 14-year-old girl is presented. Failure to recognize such a lesion in a timely fashion can have fatal consequences. Extreme caution is advised when a sinus is found penetrating the occipital region because connection with the cranial venous confluence is common, and unanticipated penetration is associated with rapid and fatal exsanguination. Neurosurgical consultation and preparation for posterior fossa exploration and venous sinus repair should be made if full extirpation is anticipated. Clinical presentation, diagnostic evaluation, and treatment of these rare lesions is reviewed.
本文报告了一例14岁女孩枕部皮样窦的罕见病例。未能及时识别此类病变可能会导致致命后果。当发现窦道穿透枕部区域时，建议极度谨慎，因为与颅静脉汇合处相连很常见，意外穿透会导致迅速且致命的大出血。如果预期要进行完整切除，应进行神经外科会诊，并为后颅窝探查和静脉窦修复做好准备。本文还综述了这些罕见病变的临床表现、诊断评估及治疗方法。
