Cilluffo J M, Onofrio B M, Miller R H
Acta Neurochir (Wien). 1983;67(3-4):215-29. doi: 10.1007/BF01401423.
Intracranial arachnoid cysts are becoming a more frequent finding as a result of the increased use of cranial computed tomography. We present 26 patients with such lesions treated surgically at the Mayo Clinic between 1970 and 1980. In children the commonest presenting symptom was cranial enlargement, whereas in adults headaches were most common. On examination, most patients were normal, although focal deficits related to the site of the lesion were not rare. Computed tomography scanning was the definitive study in essentially all the patients. Direct surgical excision was the preferred therapy in most patients. Complications included three subdural hygromas in children, one wound infection, one death from anterior spinal artery thrombosis, and one case of seizures post-operatively.
由于头颅计算机断层扫描的使用增加，颅内蛛网膜囊肿的发现越来越频繁。我们报告了1970年至1980年间在梅奥诊所接受手术治疗的26例此类病变患者。在儿童中，最常见的症状是头颅增大，而在成人中，头痛最为常见。检查时，大多数患者正常，尽管与病变部位相关的局灶性神经功能缺损并不罕见。计算机断层扫描基本上是所有患者的决定性检查方法。大多数患者首选直接手术切除治疗。并发症包括儿童的3例硬膜下积液、1例伤口感染、1例因脊髓前动脉血栓形成死亡以及1例术后癫痫发作。
