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并存的蛛网膜囊肿和小脑幕窦:治疗困境。

Coexisting arachnoid cyst and tentorial sinus: A therapeutic dilemma.

作者信息

Ferrigno Ana S, Figueroa-Sanchez Jose A

机构信息

Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, Nuevo Leon, Mexico.

出版信息

Surg Neurol Int. 2020 Sep 12;11:280. doi: 10.25259/SNI_53_2020. eCollection 2020.

DOI:10.25259/SNI_53_2020
PMID:33033642
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7538981/
Abstract

A 4-year-old male presented with a large arachnoid cyst over the left temporal region causing displacement of adjacent structures. Cerebral angiography showed dilatation of the tentorial sinus without other apparent vascular alterations. The association of these two anomalies raises a therapeutic dilemma as no information is available about how the variants of the venous system can modify cerebrospinal fluid hydrodynamics and thus affect arachnoid cyst's prognosis. In this case, the patient was treated conservatively and has remained stable for 2 years.

摘要

一名4岁男性因左侧颞区巨大蛛网膜囊肿导致相邻结构移位前来就诊。脑血管造影显示小脑幕窦扩张,无其他明显血管改变。这两种异常情况同时出现引发了治疗难题,因为目前尚无关于静脉系统变异如何改变脑脊液动力学从而影响蛛网膜囊肿预后的相关信息。在本病例中,患者接受了保守治疗,且已保持稳定状态达2年。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41bd/7538981/fcb498c7f3b5/SNI-11-280-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41bd/7538981/85a803a93792/SNI-11-280-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41bd/7538981/fcb498c7f3b5/SNI-11-280-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41bd/7538981/85a803a93792/SNI-11-280-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/41bd/7538981/fcb498c7f3b5/SNI-11-280-g002.jpg

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本文引用的文献

1
Vein of Galen aneurismal malformations - clinical characteristics, treatment and presentation: Three cases report.大脑大静脉动脉瘤样畸形——临床特征、治疗及表现:三例报告
World J Clin Cases. 2019 Apr 6;7(7):855-862. doi: 10.12998/wjcc.v7.i7.855.
2
Natural History of Intracranial Arachnoid Cysts.颅内蛛网膜囊肿的自然病史。
World Neurosurg. 2019 Jun;126:e1315-e1320. doi: 10.1016/j.wneu.2019.03.087. Epub 2019 Mar 18.
3
Fate of the three embryonic dural sinuses in infants: the primitive tentorial sinus, occipital sinus, and falcine sinus.
婴儿期三个胚胎硬脑膜窦的转归:原始小脑幕窦、枕窦和大脑镰窦。
Neuroradiology. 2018 Mar;60(3):325-333. doi: 10.1007/s00234-018-1980-x. Epub 2018 Jan 22.
4
Prevalence and natural history of arachnoid cysts in children.儿童蛛网膜囊肿的患病率及自然病史。
J Neurosurg Pediatr. 2010 Jun;5(6):578-85. doi: 10.3171/2010.2.PEDS09464.
5
Delineation of lateral tentorial sinus with contrast-enhanced MR imaging and its surgical implications.对比增强磁共振成像对小脑幕侧窦的描绘及其手术意义。
AJNR Am J Neuroradiol. 2004 Aug;25(7):1181-8.