Kuntzer T, Assal G, de Tribolet N
Neurochirurgie. 1986;32(3):235-41.
20 cases of supratentorial arachnoid cysts are reported. Their classification according to the clinical symptomatology allows to separate them in 3 categories: those presenting with intracranial hypertension and/or a focal neurological deficit (7 cases), those presenting with headache (4 cases) or epilepsy (4 cases), those which were found incidentally and where asymptomatic (5 cases). The neuropsychological examination showed that 5 cysts of the left sylvian fissure had some memory deficit in the verbal modality, but remarkably none was found to have signs of aphasia on detailed testing. Indications for surgical treatment are discussed considering the various clinical groups, the results of neuropsychological evaluation and the neuroradiological findings.
报告了20例幕上蛛网膜囊肿。根据临床症状学对其进行分类，可分为3类：表现为颅内高压和/或局灶性神经功能缺损的（7例）；表现为头痛的（4例）或癫痫的（4例）；偶然发现且无症状的（5例）。神经心理学检查显示，左侧外侧裂的5个囊肿在言语模式方面存在一些记忆缺陷，但在详细测试中未发现有失语症迹象。结合不同临床组、神经心理学评估结果和神经放射学检查结果，讨论了手术治疗的适应症。
