胶质囊肿引起的急性脑积水——病例报告
Acute hydrocephalus caused by a colloid cyst - a case report.
作者信息
Melicher Dóra, Gaál Szabolcs, Berényi Tamás, Fenyves Bánk Gábor, Novák Pál Kaposi, Tóth Ambrus, Szegedi László, Varga Csaba
机构信息
Department of Emergency Medicine, Semmelweis University, Budapest, Hungary.
Department of Molecular Biology, Semmelweis University, Budapest, Hungary.
出版信息
Int J Emerg Med. 2023 Apr 19;16(1):28. doi: 10.1186/s12245-023-00500-5.
BACKGROUND
Colloid cysts are rare benign, slowly growing intracranial tumors of endodermal origin. Most colloid cysts are found incidentally and are asymptomatic, but rarely, they can lead to sudden death.
CASE PRESENTATION
A 73-year-old female patient was admitted to our emergency department with complaints of dizziness, nausea, vomiting, fatigue, walking difficulties, and behavioral changes. CT imaging revealed acute obstructive hydrocephalus attributable to a third ventricular colloid cyst. The patient was immediately transferred to a tertiary center where she underwent successful neurosurgical resection of the mass. Pathology results of the lesion confirmed the diagnosis of colloid cyst.
CONCLUSION
The case we present emphasizes the critical importance of prompt identification of warning signs, complex thinking, and evaluation. Establishing the right diagnostic approach early on can facilitate accurate diagnosis.
背景
胶样囊肿是罕见的良性、生长缓慢的内胚层起源颅内肿瘤。大多数胶样囊肿是偶然发现的，且无症状，但极少数情况下，它们可导致猝死。
病例介绍
一名73岁女性患者因头晕、恶心、呕吐、疲劳、行走困难及行为改变而入住我院急诊科。CT成像显示急性梗阻性脑积水，病因是第三脑室胶样囊肿。患者立即被转至三级中心，在那里成功接受了肿物的神经外科切除术。病变的病理结果证实为胶样囊肿。
结论
我们呈现的该病例强调了及时识别警示信号、综合思考和评估的至关重要性。尽早确立正确的诊断方法有助于准确诊断。
Zotero 插件