成人颅颈交界区背侧神经肠囊肿：病例报告及手术视频
Neurenteric cyst of the dorsal craniocervical junction in an adult: A case report and operative video.
作者信息
Abdulqader Sarah Bin, Elahi Basim Noor, Alshoumer Azhar, Alzhrani Gmaan
机构信息
Department of Neurosurgery, National Neuroscience Institute, King Fahad Medical City.
Department of Pathology, Division of Neuropathology, King Fahad Medical City, Riyadh, Saudi Arabia.
出版信息
Surg Neurol Int. 2022 Jul 8;13:291. doi: 10.25259/SNI_331_2022. eCollection 2022.
BACKGROUND
Neurenteric cysts (NCs) are rarely located in the dorsal craniocervical junction (CCJ).
CASE DESCRIPTION
Here, we present a case and show the surgical video of a 24-year-old man with a history of neck pain, progressive hemiparesis, and difficulty swallowing. Radiological images revealed an intradural extramedullary lesion at the dorsal CCJ. Posterior approach with C1-C2 laminectomy for resection of the lesion was performed with significant improvement in symptoms postoperatively. Histopathological examination confirmed the diagnosis of NC.
CONCLUSION
This case demonstrates a rare location of a NC in an adult patient. Complete excision of the cyst wall and its content is the recommended treatment option.
背景
神经肠囊肿（NCs）很少位于颅颈交界区（CCJ）的背侧。
病例描述
在此，我们报告一例，并展示一名24岁男性的手术视频，该患者有颈部疼痛、进行性偏瘫和吞咽困难病史。影像学检查显示在CCJ背侧有一个硬脊膜内髓外病变。采用C1-C2椎板切除术的后路手术切除病变，术后症状有显著改善。组织病理学检查确诊为神经肠囊肿。
结论
本病例显示了神经肠囊肿在成年患者中的罕见位置。推荐的治疗选择是完整切除囊肿壁及其内容物。
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