Bucciero A, Del Basso De Caro M L, Carraturo S, Vizioli L, Cerillo A, Tedeschi G
Chair of Neurosurgery, 2nd School of Medicine, University of Naples, Italy.
J Neurosurg Sci. 1995 Mar;39(1):7-11.
Five patients with supratentorial dermoid cysts who were surgically treated are presented. There were three males and two females, between the ages of 17 and 35 years (mean 26.6 years). The tumor location was frontobasal and/or temporobasal. The duration of illness before the diagnosis ranged from 1 to 14 months (mean 7.4 months). Clinical presentation included seizures, intracranial hypertension syndrome, aseptic meningitis, homonimous lateral hemianopsia, and memory defect. Preoperatively, all patients were investigated by computerized tomography (CT); in two cases, magnetic resonance (MR) imaging was also obtained. Tumor removal was performed by microsurgical procedures; it was total in 3 cases and subtotal in the remaining 2 cases. Histologically, all of the tumors exhibited the typical dermoid cyst pattern. There were no operative deaths. Two patients experienced postoperative language dysfunction and/or hemiparesis. No patient developed clinicoradiological evidence of tumor recurrence at 1 to 10 years (mean 5 years) following surgery. These results are discussed in light of the data previously reported by the literature.
本文报告了5例接受手术治疗的幕上皮样囊肿患者。其中男性3例，女性2例，年龄在17至35岁之间（平均26.6岁）。肿瘤位于额底部和/或颞底部。诊断前的病程为1至14个月（平均7.4个月）。临床表现包括癫痫发作、颅内高压综合征、无菌性脑膜炎、同向性偏盲和记忆缺陷。术前，所有患者均接受了计算机断层扫描（CT）检查；2例还进行了磁共振（MR）成像检查。肿瘤切除采用显微外科手术；3例全切，其余2例次全切。组织学上，所有肿瘤均表现为典型的皮样囊肿模式。无手术死亡病例。2例患者术后出现语言功能障碍和/或偏瘫。术后1至10年（平均5年），无患者出现肿瘤复发的临床和影像学证据。结合文献先前报道的数据对这些结果进行了讨论。
