Bhandari Y S
J Neurol Neurosurg Psychiatry. 1972 Dec;35(6):763-70. doi: 10.1136/jnnp.35.6.763.
The clinical and radiological features and operative treatment of six patients with supratentorial subarachnoid cysts are reviewed. Five were adults aged 37 to 57 years and the other a male infant, aged 8 months. Three patients presented with epilepsy and hemiparesis, one with epilepsy without signs, another as Parkinsonian syndrome, and the infant with hydrocephalus. Diagnosis was revealed at operation in four cases, in one case by ventriculography, and in one case the lesion was strongly suspected on angiographic appearances. Surgical treatment is highly effective, since the cystic lesion is benign in nature, but recurrence of symptoms is not unusual and repeated evacuation of the cyst may be required. It is, therefore, considered essential to conduct a prolonged and careful follow-up.
回顾了6例幕上蛛网膜囊肿患者的临床、影像学特征及手术治疗情况。其中5例为37至57岁的成年人，另1例为8个月大的男婴。3例患者表现为癫痫和偏瘫，1例仅有癫痫症状，无其他体征，另1例表现为帕金森综合征，婴儿则患有脑积水。4例患者在手术中确诊，1例通过脑室造影确诊，1例根据血管造影表现高度怀疑有病变。由于囊性病变本质上是良性的，手术治疗非常有效，但症状复发并不罕见，可能需要反复引流囊肿。因此，进行长期、仔细的随访被认为至关重要。
