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桥小脑角皮样囊肿和蛛网膜囊肿罕见并存:一例报告。

A rare association between a dermoid cyst and arachnoid cyst of the cerebellopontine angle: a case report.

机构信息

Department of Neurosurgery, Faculty of Medicine, Abou Bekr Belkaid University, Tlemcen, Algeria.

Royal Preston Hospital, Manchester, United Kingdom.

出版信息

Pan Afr Med J. 2021 Nov 1;40:125. doi: 10.11604/pamj.2021.40.125.32040. eCollection 2021.

Abstract

Supratentorial arachnoid cysts are usually asymptomatic and may be discovered by chance at autopsy; however, infratentorial arachnoid cysts, which correspond to liquid forms enclosed by an arachnoid sheet but whose pathogenesis is unknown, might cause symptoms. They don't need to be treated if they're asymptomatic and were discovered by chance. A variety of neurological symptoms can be present depending on their localization. Intracranial dermoid cysts are uncommon tumours that develop from ectopic epithelial cells in the brain. They are benign, slow-growing, and rarely rupture. The association between the two diseases is extremely rare and when it is present may suggest the existence of a common factor. We present a unique case of a young girl who developed headache and ataxia as a result of an intracranial infratentorial dermoid cyst and an arachnoid cyst of the cerebellopontine angle. Complete removal of the dermoid cyst and drainage of the cyst leads to a full recovery. Dermoid and arachnoid cyst are two pathologies with a possible common embryogenic factor, early surgery can give a better outcome in the long term.

摘要

幕上蛛网膜囊肿通常无症状,可能在尸检时偶然发现;然而,幕下蛛网膜囊肿对应由蛛网膜片包裹的液体形式,但病因不明,可能引起症状。如果无症状且偶然发现,无需治疗。根据其定位,可能存在多种神经症状。颅内皮样囊肿是一种罕见的肿瘤,由脑内异位上皮细胞发育而来。它们是良性的、生长缓慢的,很少破裂。这两种疾病的关联极为罕见,当存在时可能提示存在共同因素。我们报告了一例年轻女孩的独特病例,她因颅内幕下皮样囊肿和桥小脑角蛛网膜囊肿而出现头痛和共济失调。皮样囊肿完全切除和囊肿引流可完全恢复。皮样囊肿和蛛网膜囊肿是两种具有潜在共同胚胎发生因素的病理,早期手术可获得长期更好的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8367/8641637/11313f97c6b0/PAMJ-40-125-g001.jpg

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