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小儿患者胶质瘤切除术后出现症状性囊肿:一例报告

Symptomatic postoperative cyst following glioma excision in a pediatric patient: a case report.

作者信息

Praveen R, Scalia Gianluca, Umana Giuseppe Emmanuele, Chaurasia Bipin

机构信息

Department of Neurosurgery, Jawaharlal Institute of Postgraduate Medical Education and Research (JIPMER), Puducherry, India.

Neurosurgery Unit, Department of head and Neck Surgery, Garibaldi Hospital, Catania, Italy.

出版信息

Ann Med Surg (Lond). 2025 Aug 2;87(9):6201-6205. doi: 10.1097/MS9.0000000000003666. eCollection 2025 Sep.

Abstract

INTRODUCTION AND IMPORTANCE

Postoperative cyst formation is a rare but significant complication following central nervous system (CNS) tumor resection. This case report describes a 14-year-old girl who developed a postoperative cyst after glioma excision, successfully managed through a minimally invasive approach.

CASE PRESENTATION

A 14-year-old female presented with headache and seizures. Magnetic Resonance Imaging (MRI) revealed a mass in the trigonal region. She underwent surgical resection of the tumor. On postoperative day 7, she developed a symptomatic cyst at the tumor bed. The cyst was drained, resulting in symptomatic improvement. Follow-up assessments confirmed her clinical recovery.

CLINICAL DISCUSSION

In pediatric patients, postoperative cyst formation is less frequently reported compared to adults. This highlights the need for further investigation into its underlying mechanisms and optimal treatment strategies in children.

CONCLUSION

Minimally invasive percutaneous drainage followed by shunting successfully managed the postoperative cyst and prevented recurrence in this pediatric glioma case. Given the absence of standardized treatment protocols, individualized care is essential to ensure the best possible outcomes.

摘要

引言及重要性

术后囊肿形成是中枢神经系统(CNS)肿瘤切除术后一种罕见但严重的并发症。本病例报告描述了一名14岁女孩,她在胶质瘤切除术后出现了术后囊肿,并通过微创方法成功治疗。

病例介绍

一名14岁女性因头痛和癫痫发作就诊。磁共振成像(MRI)显示三角区有一个肿块。她接受了肿瘤手术切除。术后第7天,她在肿瘤床处出现了一个有症状的囊肿。对囊肿进行了引流,症状得到改善。随访评估证实了她的临床康复。

临床讨论

与成人相比,儿科患者术后囊肿形成的报道较少。这凸显了进一步研究其在儿童中的潜在机制和最佳治疗策略的必要性。

结论

在本小儿胶质瘤病例中,微创经皮引流后行分流术成功治疗了术后囊肿并防止了复发。鉴于缺乏标准化的治疗方案,个体化护理对于确保最佳治疗效果至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25e7/12401426/edaf5e2c96a9/ms9-87-6201-g001.jpg

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