Kuhn M J, Pencek T, Pearson D H, Russell B K, Long S D
Department of Radiology, Southern Illinois University School of Medicine, Springfield 62704.
AJNR Am J Neuroradiol. 1993 Jan-Feb;14(1):178-80.
A technique for percutaneous catheter drainage of cystic masses in the subarachnoid space was developed and shown to be safe and effective in an 18-year-old boy with life-threatening, recurrent neuroenteric cysts that compressed the brain stem, cerebellum, and spinal cord. Percutaneous drainage through a C1-C2 approach was performed on 11 separate occasions. Decompression was always accomplished and no infection or other complication occurred, even with continuous catheter drainage for 9 months. This technique provides opportunities for interventional neuroradiologic therapy in the subarachnoid space. It appears to be suited for percutaneous drainage of intraspinal and intracranial cysts when surgery is not indicated due to intractability or inaccessibility.
一种用于蛛网膜下腔囊性肿块经皮导管引流的技术得以开发，并在一名18岁男孩身上显示出安全有效，该男孩患有危及生命的复发性神经肠囊肿，压迫脑干、小脑和脊髓。通过C1 - C2入路进行了11次经皮引流。每次均实现减压，即使持续导管引流9个月也未发生感染或其他并发症。该技术为蛛网膜下腔的介入神经放射治疗提供了机会。当由于难治性或难以接近而不适合手术时，它似乎适用于脊髓内和颅内囊肿的经皮引流。
