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第三脑室颅咽管瘤：一例报告及文献综述

Third Ventricle Craniopharyngioma Intraventricular Tumor: A Case Report and a Brief Literature Review.

作者信息

Ferreira Neto Otávio da Cunha, Braun Débora Mendes, Dias Artêmio José Araruna, Lemos Nilson Batista, Diniz Andrey Maia Silva, Lima Luís Felipe Gonçalves de, Alencar Neto Joaquim Fechine de, Cabral Bianca Domiciano Vieira Costa, Andrade Jonas Silva, Clemente Rafaelly Maia, Bem Junior Luiz Severo Bem, Almeida Nivaldo Sena, Azevedo Filho Hildo Rocha Cirne

机构信息

Center of Biological Sciences and Health, Catholic University of Pernambuco (UNICAP), Recife, Pernambuco, Brazil.

Department of Medicine, University of Pernambuco Medical School (UPE), Recife, Pernambuco, Brazil.

出版信息

J Neurol Surg Rep. 2022 Jul 12;83(2):e39-e43. doi: 10.1055/a-1830-2236. eCollection 2022 Apr.

DOI:10.1055/a-1830-2236
PMID:35837503
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9276335/
Abstract

Craniopharyngioma is a rare embryonic malformation, usually benign, of the sellar or parasellar regions. In this study, an uncommon case of third ventricle craniopharyngioma and a succinct review of its prevalence are presented. Even with low mortality rates, these injuries involve a high degree of endocrinological, visual, and neuropsychological morbidities, which have a huge impact on the patient's quality of life. Thus, surgical resection is the preferred therapy for tumors that compromise the flow of cerebrospinal fluid. However, due to the location of the craniopharyngioma, surgical management is accompanied by the risk of injury to important adjacent areas with postoperative repercussions. Therefore, the neurosurgeon's experience and the choice of the best surgical approach, are crucial for increasing prognosis.

摘要

颅咽管瘤是一种罕见的胚胎发育畸形，通常为良性，位于鞍区或鞍旁区域。在本研究中，报告了一例罕见的第三脑室颅咽管瘤病例，并对其患病率进行了简要综述。即使死亡率较低，这些损伤也会导致高度的内分泌、视觉和神经心理疾病，对患者的生活质量产生巨大影响。因此，手术切除是治疗影响脑脊液流动的肿瘤的首选方法。然而，由于颅咽管瘤的位置，手术治疗伴有损伤重要相邻区域的风险以及术后并发症。因此，神经外科医生的经验和最佳手术方法的选择对于改善预后至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f447/9276335/16030b7a8602/10-1055-a-1830-2236-i210025-9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f447/9276335/266b373658d9/10-1055-a-1830-2236-i210025-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f447/9276335/9fc1a0ba09f4/10-1055-a-1830-2236-i210025-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f447/9276335/190dcd5a6ae6/10-1055-a-1830-2236-i210025-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f447/9276335/c3e3cae06118/10-1055-a-1830-2236-i210025-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f447/9276335/873e1fda6b12/10-1055-a-1830-2236-i210025-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f447/9276335/1154d82aa43a/10-1055-a-1830-2236-i210025-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f447/9276335/2071426303e7/10-1055-a-1830-2236-i210025-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f447/9276335/c4d69378a6b2/10-1055-a-1830-2236-i210025-8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f447/9276335/16030b7a8602/10-1055-a-1830-2236-i210025-9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f447/9276335/266b373658d9/10-1055-a-1830-2236-i210025-1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f447/9276335/9fc1a0ba09f4/10-1055-a-1830-2236-i210025-2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f447/9276335/190dcd5a6ae6/10-1055-a-1830-2236-i210025-3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f447/9276335/c3e3cae06118/10-1055-a-1830-2236-i210025-4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f447/9276335/873e1fda6b12/10-1055-a-1830-2236-i210025-5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f447/9276335/1154d82aa43a/10-1055-a-1830-2236-i210025-6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f447/9276335/2071426303e7/10-1055-a-1830-2236-i210025-7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f447/9276335/c4d69378a6b2/10-1055-a-1830-2236-i210025-8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f447/9276335/16030b7a8602/10-1055-a-1830-2236-i210025-9.jpg

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本文引用的文献

1
The Diagnosis and Treatment of Craniopharyngioma.颅咽管瘤的诊断与治疗。
Neuroendocrinology. 2020;110(9-10):753-766. doi: 10.1159/000504512. Epub 2019 Nov 4.
2
Third Ventricular Tumors: A Comprehensive Literature Review.第三脑室肿瘤：文献综述
Cureus. 2018 Oct 5;10(10):e3417. doi: 10.7759/cureus.3417.
3
A flexible endoscope-assisted interhemispheric transcallosal approach through the contralateral ventricle for the removal of a third ventricle craniopharyngioma: A technical report.一种通过对侧脑室采用软性内镜辅助经胼胝体间入路切除第三脑室颅咽管瘤的技术报告。
Surg Neurol Int. 2015 Mar 19;6(Suppl 2):S113-6. doi: 10.4103/2152-7806.153653. eCollection 2015.
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Diagnostics, treatment, and follow-up in craniopharyngioma.颅咽管瘤的诊断、治疗和随访。
Front Endocrinol (Lausanne). 2011 Nov 23;2:70. doi: 10.3389/fendo.2011.00070. eCollection 2011.
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Operative outcomes and adjuvant treatment of purely third ventricle craniopharyngioma after a transcallosal approach.
Br J Neurosurg. 2012 Jun;26(3):355-60. doi: 10.3109/02688697.2011.631615. Epub 2011 Nov 21.