Domingo Z, Peter J
Department of Paediatric Neurosurgery, Red Cross War Memorial Children's Hospital, University of Cape Town, South Africa.
Pediatr Neurosurg. 1996;24(3):111-8. doi: 10.1159/000121026.
Fifty children with developmental retrocerebellar cysts of the posterior fossa, treated over an 11-year period, were assessed. The cysts were classified according to a morphological classification based on axial computerized tomography scans in order to assess the usefulness of this classification with regard to treatment and outcome. There were 35 patients with the Dandy-Walker complex and 15 patients with posterior fossa cysts. All surgically treated patients had cerebrospinal fluid shunting as the only form of treatment. Cystoperitoneal shunts were the treatment of choice. Although the morphological classification has relevance with regard to the embryological development of the cyst, it does not influence the selection of treatment nor the surgical outcome following shunt insertion.
对50例在11年期间接受治疗的后颅窝发育性小脑后囊肿患儿进行了评估。根据基于轴向计算机断层扫描的形态学分类对囊肿进行分类，以评估该分类在治疗和预后方面的实用性。其中有35例患有丹迪-沃克综合征，15例患有后颅窝囊肿。所有接受手术治疗的患者均仅采用脑脊液分流作为唯一的治疗方式。囊肿-腹腔分流术是首选的治疗方法。尽管形态学分类与囊肿的胚胎发育有关，但它并不影响治疗的选择，也不影响分流术后的手术效果。
