Ferrigno Ana S, Figueroa-Sanchez Jose A
Tecnologico de Monterrey, Escuela de Medicina y Ciencias de la Salud, Monterrey, Nuevo Leon, Mexico.
Surg Neurol Int. 2020 Sep 12;11:280. doi: 10.25259/SNI_53_2020. eCollection 2020.
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.
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。