一例以记忆障碍为表现的丘脑表皮样囊肿：病例报告
A thalamic epidermoid cyst presenting with memory disturbances: a case report.
作者信息
Paudel Kumar, Shrestha Ramesh, Karki Sijan, Jha Prabhat, Jha Rajiv
机构信息
Department of Neurosurgery.
Department of Neurology, Upendra Devkota Memorial National Institute of Neurological and Allied Sciences, Kathmandu, Nepal.
出版信息
Ann Med Surg (Lond). 2023 Apr 7;85(5):2089-2092. doi: 10.1097/MS9.0000000000000557. eCollection 2023 May.
UNLABELLED
Epidermoid cysts are benign, slow-growing tumors. They account for 0.2-1.8% of all intracranial tumors and rarely appear as intraparenchymal masses. The most prevalent symptom in people of middle age is an insidious-onset headache.
CASE PRESENTATION
We present a 20-year-old college student who presented with memory disturbances. The imaging revealed a left thalamic mass. The tumor was excised and diagnosed histopathologically as an epidermoid cyst.
CLINICAL DISCUSSION
Epidermoid cysts resemble epidermal skin cells in histology. The lesion of the thalamus involving the ventrolateral and anterior regions is involved with memory and language. Of note, to our knowledge, no cases of memory issues associated with thalamic epidermoid cysts have been reported in the literature.
CONCLUSION
The ideal treatment is cystic component removal with complete capsule excision. Sometimes, in cases of incomplete excision, radiotherapy can be another option.
未分类
表皮样囊肿是良性、生长缓慢的肿瘤。它们占所有颅内肿瘤的0.2 - 1.8%，很少表现为脑实质内肿块。中年人的最常见症状是隐匿起病的头痛。
病例介绍
我们报告一名20岁的大学生，表现为记忆障碍。影像学检查发现左侧丘脑有一肿块。肿瘤被切除，组织病理学诊断为表皮样囊肿。
临床讨论
表皮样囊肿在组织学上类似于表皮皮肤细胞。丘脑涉及腹外侧和前部区域的病变与记忆和语言有关。值得注意的是，据我们所知，文献中尚未报道与丘脑表皮样囊肿相关的记忆问题病例。
结论
理想的治疗方法是切除囊肿成分并完整切除包膜。有时，在切除不完全的情况下，放射治疗可以是另一种选择。
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