扩大性巨大枕部蛛网膜囊肿的内镜开窗术

Endoscopic fenestration of an enlarging giant occipital arachnoid cyst.

作者信息

Blue Rachel, Gujral Jaskeerat, Ahmad Hasan S, Choudhri Omar

机构信息

Department of Neurosurgery, University of Pennsylvania, Philadelphia; and.

University of Pennsylvania, College of Arts and Sciences, Philadelphia, Pennsylvania.

出版信息

Neurosurg Focus Video. 2023 Apr 1;8(2):V2. doi: 10.3171/2023.1.FOCVID22129. eCollection 2023 Apr.

DOI:10.3171/2023.1.FOCVID22129

PMID:37089746

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10114910/

Abstract

This case demonstrates an endoscopic fenestration of an enlarging giant occipital arachnoid cyst. The patient is a 42-year-old woman presenting with headache, progressive vision loss, and nausea and vomiting. MRI demonstrates a large, nonenhancing cystic lesion in the right occipital lobe measuring up to 8.3 cm, consistent with an arachnoid cyst. This surgical video illustrates the technique for an endoscopic fenestration into the native ventricular system utilizing stereotactic MRI-guided stealth navigation. Postoperatively, the patient had full recovery with improvement of headaches and vision and was discharged on postoperative day 1 without complications. The video can be found here: https://stream.cadmore.media/r10.3171/2023.1.FOCVID22129.

摘要

本病例展示了一例扩大的巨大枕部蛛网膜囊肿的内镜开窗术。患者为一名42岁女性，表现为头痛、进行性视力丧失以及恶心和呕吐。磁共振成像（MRI）显示右侧枕叶有一个大的、无强化的囊性病变，最大直径达8.3厘米，符合蛛网膜囊肿。该手术视频展示了利用立体定向MRI引导的隐形导航技术进行内镜开窗进入原脑室系统的操作。术后，患者完全康复，头痛和视力改善，术后第1天出院，无并发症。视频可在此处查看：https://stream.cadmore.media/r10.3171/2023.1.FOCVID22129 。