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颅内皮样囊肿破裂病例报告

A Case Report of Ruptured Intracranial Dermoid Cyst.

作者信息

Alfeki Sharif, Alsaedi Abdullah, Alsheikh Osama, AlSafar Abdullah, Alqubaysi Atheer, Aljubairy Amjad, Ageeli Feras, Ali Mazen

机构信息

Emergency Medicine, Dallah Hospital, Riyadh, SAU.

General Practice, King Abdulaziz University, Jeddah, SAU.

出版信息

Cureus. 2024 Jan 5;16(1):e51718. doi: 10.7759/cureus.51718. eCollection 2024 Jan.

Abstract

Intracranial dermoid cysts, rare congenital lesions originating from ectodermal elements during neural tube closure, are explored in the context of a 45-year-old female presenting with a sudden-onset severe headache, nausea, and vomiting. A thorough neurological examination revealed no focal deficits, prompting a computed tomography scan that identified multiple extra-axial intracranial fat density lesions indicative of dermoid cysts. Laboratory and cerebrospinal fluid analysis confirmed inflammatory changes, characterized by an increased white blood cell count. Successful surgical intervention followed, resulting in the complete removal of the cyst and the patient's subsequent full recovery with the resolution of symptoms. This case highlights the intricate nature of intracranial dermoid cysts and underscores the critical importance of prompt recognition in effectively mitigating potential complications.

摘要

颅内皮样囊肿是神经管闭合期间起源于外胚层成分的罕见先天性病变。本文结合一名45岁女性患者进行探讨,该患者突然出现严重头痛、恶心和呕吐。全面的神经系统检查未发现局灶性缺损,遂进行计算机断层扫描,发现多个轴外颅内脂肪密度病变,提示为皮样囊肿。实验室检查和脑脊液分析证实存在炎症改变,表现为白细胞计数增加。随后成功进行了手术干预,囊肿被完全切除,患者症状得以缓解并完全康复。该病例突出了颅内皮样囊肿的复杂性,并强调了及时识别对于有效减轻潜在并发症的至关重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/35a4/10838807/50fc19924ee5/cureus-0016-00000051718-i01.jpg

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