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巨大型脑室内表皮样囊肿:一例报告

Huge intraventricular epidermoid cyst: A case report.

作者信息

Gader Ghassen, Hdhili Houssem, Mansour Wiem, Ali Kerima Belhadj, Badri Mohamed, Zammel Ihsèn

机构信息

Department of Neurosurgery, Trauma and Burns Center, Ben Arous, Tunisia.

University of Tunis-El Manar, Faculty of Medicine of Tunis, Tunisia.

出版信息

Radiol Case Rep. 2025 Apr 16;20(7):3319-3322. doi: 10.1016/j.radcr.2025.03.046. eCollection 2025 Jul.

DOI:10.1016/j.radcr.2025.03.046
PMID:40292149
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12020833/
Abstract

Epidermoid cysts, originating from ectopic embryonic epithelial cells, are a common type of benign intracranial tumor. However, intraventricular epidermoid cysts are rare, with those occupying the lateral ventricles being exceptionally uncommon. This report details the case of a 59-year-old male presenting with recurrent headaches over an 8-month period, accompanied by behavioral changes, memory impairment, and seizures. Magnetic resonance imaging of the brain revealed a large intraventricular mass consistent with an epidermoid cyst. The patient underwent subtotal resection via a transfrontal transventricular approach, resulting in good postoperative recovery.

摘要

表皮样囊肿起源于异位胚胎上皮细胞,是一种常见的颅内良性肿瘤。然而,脑室内表皮样囊肿较为罕见,而位于侧脑室的此类囊肿则尤为少见。本报告详细介绍了一名59岁男性患者的病例,该患者在8个月内反复出现头痛,并伴有行为改变、记忆障碍和癫痫发作。脑部磁共振成像显示脑室内有一个较大的肿块,符合表皮样囊肿的表现。患者通过经额经脑室入路接受了次全切除术,术后恢复良好。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7158/12020833/90ef8f4de951/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7158/12020833/3e9a40805aa0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7158/12020833/f457428cf1cc/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7158/12020833/bdbc5d6edd13/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7158/12020833/90ef8f4de951/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7158/12020833/3e9a40805aa0/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7158/12020833/f457428cf1cc/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7158/12020833/bdbc5d6edd13/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7158/12020833/90ef8f4de951/gr4.jpg

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1
Huge intraventricular epidermoid cyst: A case report.巨大型脑室内表皮样囊肿:一例报告
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2
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本文引用的文献

1
Intracranial Epidermoid Cyst: A Volumetric Study of a Surgically Challenging Benign Lesion.颅内表皮样囊肿:一种具有挑战性的良性病变的体积研究。
World Neurosurg. 2024 May;185:e1129-e1135. doi: 10.1016/j.wneu.2024.03.035. Epub 2024 Mar 15.
2
Intracranial progression of the epidermoid cyst to a white epidermoid cyst in a pediatric patient: a case report.颅内表皮样囊肿向小儿患者的白色表皮样囊肿进展:病例报告。
J Med Case Rep. 2023 Nov 29;17(1):495. doi: 10.1186/s13256-023-04243-y.
3
Lateral Intraventricular Epidermoid Cyst: A Case Report and Literature Review.
外侧脑室表皮样囊肿:病例报告及文献复习。
Neurol India. 2023 Sep-Oct;71(5):1002-1006. doi: 10.4103/0028-3886.388112.
4
Predictors of Outcomes in Fourth Ventricular Epidermoid Cysts: A Case Report and a Review of Literature.第四脑室表皮样囊肿预后的预测因素:一例病例报告及文献综述
World Neurosurg. 2017 Sep;105:689-696. doi: 10.1016/j.wneu.2017.06.037. Epub 2017 Jun 12.
5
Endoscopic Treatment of a Third Ventricular Epidermoid Cyst.第三脑室表皮样囊肿的内镜治疗
World Neurosurg. 2017 Mar;99:813.e7-813.e11. doi: 10.1016/j.wneu.2016.11.149. Epub 2016 Dec 11.
6
A Rare Cause of Headache in the Emergency Department: Intraventricular Epidermoid Cyst Rupture With Hydrocephalus.急诊科头痛的罕见病因:伴脑积水的脑室内表皮样囊肿破裂
J Clin Med Res. 2016 Jul;8(7):560-1. doi: 10.14740/jocmr2585w. Epub 2016 May 29.
7
Lateral intraventricular epidermoid in a child with hydrocephalus.一名脑积水儿童的侧脑室内表皮样囊肿。
J Pediatr Neurosci. 2012 Sep;7(3):205-7. doi: 10.4103/1817-1745.106481.
8
Intraventricular epidermoids.脑室内表皮样囊肿。
J Clin Neurosci. 2006 May;13(4):428-30. doi: 10.1016/j.jocn.2005.04.022. Epub 2006 Mar 27.
9
Epidermoid tumour of the lateral ventricle.
Acta Neurochir (Wien). 2006 Mar;148(3):339-42; discussion 342. doi: 10.1007/s00701-005-0678-0. Epub 2005 Nov 28.