Meitner E R, Gajdos E
Psychiatr Neurol Med Psychol (Leipz). 1984 Apr;36(4):223-8.
The authors describe the case of a female patient aged 49 years who received neurological treatment for various complaints over a period of 19 years. The disorder defied exact diagnosis despite the application of all neurological and other diagnostic techniques. Suspicions ranged from somnolence accompanied by cephalalgia, through demyelination, expansive processes in the region of the cerebellum or the diencephalon, encephalitis or tuber- cubma of the brain stem to multiple sclerosis. The autopsy revealed a dermoidal cyst that exerted a slight pressure on the extension of the medulla. This explained all of the patient's complaints. The occurrence of such cysts is discussed on the basis of data taken from the literature.
作者描述了一位49岁女性患者的病例，该患者在19年的时间里因各种不适接受了神经科治疗。尽管应用了所有神经科及其他诊断技术，该病症仍无法得到确切诊断。怀疑范围从伴有头痛的嗜睡，到脱髓鞘、小脑或间脑区域的占位性病变、脑干脑炎或结核瘤，再到多发性硬化症。尸检发现一个皮样囊肿，该囊肿对延髓的延伸部位施加了轻微压力。这解释了患者的所有不适症状。基于从文献中获取的数据，对这类囊肿的发生情况进行了讨论。
