Rousseaux M, Lesoin F, Petit H, Jomin M
Neurochirurgie. 1984;30(2):119-24.
Ten cases of arachnoid cysts of the ponto-cerebellar angle are presented. In most cases, local arachnoiditis is disclosed during surgery, directing the discussion toward acquired pathology, and perhaps toward local infection. The clinical symptoms are dominated by the cochleo-vestibular deficit, but the involvement of the V and the VII cranial nerves is inconstant and discreet. At the present time, C.T. scan allows a rapid diagnosis but the prognosis must be reserved, in account to the possibility of a local post operatory arachnoiditis .
本文报告了10例桥小脑角蛛网膜囊肿。在大多数病例中,手术中发现局部蛛网膜炎症,这使得讨论聚焦于后天性病变,甚至可能是局部感染。临床症状以耳蜗 - 前庭功能障碍为主,但第五和第七颅神经的受累情况不恒定且不明显。目前,CT扫描可实现快速诊断,但鉴于术后局部蛛网膜炎症的可能性,预后情况仍需谨慎判断。