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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.

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/d8ae83bb8ff6/EMP2-2-e12503-g003.jpg

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