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第三脑室包虫囊肿:一例罕见病例报告及文献复习。

Third ventricle hydatid cyst: A rare case report and review of the literature.

机构信息

Departments of Neurosurgery, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Skull Base Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

Departments of Neurosurgery, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran; Skull Base Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran.

出版信息

Clin Neurol Neurosurg. 2020 Nov;198:106218. doi: 10.1016/j.clineuro.2020.106218. Epub 2020 Sep 8.

Abstract

A primary intraventricular hydatid cyst is a very rare phenomenon, which is mostly located in the lateral ventricle. To the best of our knowledge, only two cases of third ventricle hydatid cyst have been reported. Herein, we present a very rare case of third ventricle hydatid cyst in a four- year-old boy with nausea, vomiting, and progressive drowsiness. Neuroradiological examination revealed a large, spherical, well-defined cystic lesion within the third ventricle. The patient underwent surgery using the anterior interhemispheric transcallosal approach, and the cyst was successfully removed using the Dowling's technique. In this case report, we described the first case of transcallosal removal of a rare third ventricle hydatid cyst, which can be considered in the differential diagnosis of suprasellar arachnoid cysts. Caution must be taken in determining the best surgical approach to prevent unexpected complications.

摘要

原发性脑室内包虫囊肿是一种非常罕见的现象,主要位于侧脑室。据我们所知,仅有两例第三脑室包虫囊肿的报道。在此,我们报告一例非常罕见的 4 岁男孩第三脑室包虫囊肿,表现为恶心、呕吐和进行性嗜睡。神经影像学检查显示第三脑室有一个大的、球形、边界清楚的囊性病变。患者采用额下入路经胼胝体切除术,采用道林(Dowling)技术成功切除了囊肿。在本病例报告中,我们描述了首例经胼胝体切除罕见第三脑室包虫囊肿的病例,该病例可考虑为鞍上蛛网膜囊肿的鉴别诊断。在确定最佳手术入路时需谨慎,以防止意外并发症。

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