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第三脑室胶样囊肿

Colloid cyst of the third ventricle.

作者信息

Roberts Alisa, Jackson Antonio, Bangar Siddharth, Moussa Mohamad

机构信息

The University of Toledo College of Medicine and Life Sciences Toledo Ohio USA.

Department of Emergency Medicine The University of Toledo Toledo Ohio USA.

出版信息

J Am Coll Emerg Physicians Open. 2021 Aug 12;2(4):e12503. doi: 10.1002/emp2.12503. eCollection 2021 Aug.

DOI:10.1002/emp2.12503
PMID:34409403
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8360874/
Abstract

A colloid cyst is a malformation composed of an amorphous, gelatinous material surrounded by epithelial and connective tissue. It is typically located in the third ventricle, leading to signs of increased intracranial pressure and hydrocephalus. In this case report, we discuss a classic presentation of a patient presenting with a colloid cyst of the third ventricle. This includes the patient's symptoms before arriving at the emergency department and presentation upon arrival and during their hospital stay. We also discuss the diagnostic approach to colloid cysts, providing radiographic imaging to support the diagnosis. Finally, we discuss the approach to treatment of a colloid cyst, including temporizing measures to relieve symptoms and definitive measures for removal of the colloid cyst. The overall approach from diagnosis to management to definitive treatment of a colloid cyst requires an interdisciplinary approach but prompt recognition of the signs and symptoms in the ED can decrease both morbidity and mortality associated with this potentially fatal diagnosis.

摘要

胶样囊肿是一种由无定形、凝胶状物质组成的畸形结构，周围被上皮组织和结缔组织所包绕。它通常位于第三脑室，可导致颅内压升高和脑积水的症状。在本病例报告中，我们讨论了一名患有第三脑室胶样囊肿患者的典型临床表现。这包括患者在到达急诊科之前的症状、到达时及住院期间的表现。我们还讨论了胶样囊肿的诊断方法，并提供影像学检查以支持诊断。最后，我们讨论了胶样囊肿的治疗方法，包括缓解症状的临时措施和切除胶样囊肿的确定性措施。从诊断到管理再到胶样囊肿的确定性治疗的总体方法需要跨学科的方法，但在急诊科及时识别体征和症状可以降低与这种潜在致命诊断相关的发病率和死亡率。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1f4/8360874/41a1ddb28f32/EMP2-2-e12503-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1f4/8360874/d8ae83bb8ff6/EMP2-2-e12503-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1f4/8360874/3a18d27db8b1/EMP2-2-e12503-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1f4/8360874/5770886c3f95/EMP2-2-e12503-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1f4/8360874/52760f91fb16/EMP2-2-e12503-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1f4/8360874/c794fffcf841/EMP2-2-e12503-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1f4/8360874/41a1ddb28f32/EMP2-2-e12503-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1f4/8360874/d8ae83bb8ff6/EMP2-2-e12503-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1f4/8360874/3a18d27db8b1/EMP2-2-e12503-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1f4/8360874/5770886c3f95/EMP2-2-e12503-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1f4/8360874/52760f91fb16/EMP2-2-e12503-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1f4/8360874/c794fffcf841/EMP2-2-e12503-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1f4/8360874/41a1ddb28f32/EMP2-2-e12503-g002.jpg

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引用本文的文献

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Healthcare (Basel). 2024 Oct 29;12(21):2155. doi: 10.3390/healthcare12212155.
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Giant Colloid Cyst: A Rare Etiology for Chronic Headache.巨大胶体囊肿：慢性头痛的罕见病因。

本文引用的文献

1
Surgical management of colloid cyst of the third ventricle.第三脑室胶样囊肿的手术治疗
Acta Neurol Scand. 2017 Apr;135(4):484-487. doi: 10.1111/ane.12632. Epub 2016 Jun 27.
2
Colloid cysts of the third ventricle exhibit various clinical presentation: a review of three cases.第三脑室胶样囊肿的临床表现多样：三例病例回顾
Bosn J Basic Med Sci. 2014 Aug 14;14(3):132-5. doi: 10.17305/bjbms.2014.3.38.
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Intracranial cystic lesions: a review.颅内囊性病变：综述。
Cureus. 2023 Mar 29;15(3):e36876. doi: 10.7759/cureus.36876. eCollection 2023 Mar.
Curr Neurol Neurosci Rep. 2014 Sep;14(9):481. doi: 10.1007/s11910-014-0481-5.
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The significance of cyst remnants after endoscopic colloid cyst resection: a retrospective clinical case series.内镜下胶样囊肿切除术后囊腔残余的意义：一项回顾性临床病例系列研究。
Neurosurgery. 2013 Aug;73(2):233-7; discussion 237-9. doi: 10.1227/01.neu.0000430300.10338.71.
5
Colloid cyst of the third ventricle, hypothalamus, and heart: a dangerous link for sudden death.第三脑室、下丘脑和心脏胶体囊肿：猝死的危险环节。
Diagn Pathol. 2012 Oct 18;7:144. doi: 10.1186/1746-1596-7-144.
6
Sudden death in a patient with a third ventricle colloid cyst.一名患有第三脑室胶样囊肿的患者突然死亡。
Arq Neuropsiquiatr. 2012 Apr;70(4):311. doi: 10.1590/s0004-282x2012005000005. Epub 2012 Jan 31.
7
Colloid cyst: a case report and literature review of a rare but deadly condition.胶体囊肿：一例罕见但致命病症的病例报告及文献综述
J Emerg Med. 2011 Jan;40(1):e5-9. doi: 10.1016/j.jemermed.2007.11.110. Epub 2008 Sep 23.
8
Colloid cyst headache.胶样囊肿性头痛
Curr Pain Headache Rep. 2004 Aug;8(4):297-300. doi: 10.1007/s11916-004-0011-2.
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High risk of acute deterioration in patients harboring symptomatic colloid cysts of the third ventricle.患有症状性第三脑室胶体囊肿的患者急性病情恶化风险高。
J Neurosurg. 2002 Jun;96(6):1041-5. doi: 10.3171/jns.2002.96.6.1041.