Meyer F B, Carpenter S M, Laws E R
Surg Neurol. 1987 Aug;28(2):105-10. doi: 10.1016/0090-3019(87)90081-4.
Thirteen pathologically documented intrasellar arachnoid cysts treated by transsphenoidal cyst excision and marsupialization were analyzed. Presenting symptoms included headache (7), visual loss (7), galactorrhea (4), and anterior pituitary dysfunction (2). Postoperatively, the 7 patients with visual loss and 4 with hyperprolactinemia improved. The 2 patients with anterior pituitary dysfunction did not improve and 2 additional patients required hormonal supplements. Based on this operative experience, the pathophysiology of these cysts is discussed. The indications for transsphenoidal exploration include the following: to relieve optic chiasm, pituitary stalk or gland compression, and to exclude the possibility of other sellar neoplasms.
对13例经病理证实的鞍内蛛网膜囊肿患者进行经蝶窦囊肿切除及造袋术治疗并分析。临床表现包括头痛（7例）、视力减退（7例）、溢乳（4例）和垂体前叶功能障碍（2例）。术后，7例视力减退患者和4例高催乳素血症患者病情改善。2例垂体前叶功能障碍患者病情未改善，另有2例患者需要激素补充治疗。基于该手术经验，对这些囊肿的病理生理学进行了讨论。经蝶窦探查的适应证如下：缓解视交叉、垂体柄或腺体受压，并排除其他鞍区肿瘤的可能性。
