Sommer I E, Smit L M
Department of Child Neurology/Paediatrics, Free University Hospital of Amsterdam, The Netherlands.
Childs Nerv Syst. 1997 Jan;13(1):8-12. doi: 10.1007/s003810050030.
Little is known about the natural course of arachnoidal cysts (AC) and the incidence of complications. This poses a problem in selection of patients for surgical interventions. The present authors report on 19 children with supratentorial AC of varying location and size. The mean follow-up time is 6 years. The evolution of presenting symptoms, the developmental course, the occurrence of complications, the surgical intervention performed and its outcome are described. Associated neurological disorders cannot always be attributed to the cyst. If surgery is being considered, a causal relationship between the symptom and the cyst should be plausible.
关于蛛网膜囊肿（AC）的自然病程及并发症的发生率，人们了解甚少。这给手术干预患者的选择带来了难题。本文作者报告了19例幕上不同部位和大小的AC患儿。平均随访时间为6年。描述了首发症状的演变、发育过程、并发症的发生、所施行的手术干预及其结果。相关的神经功能障碍并不总是由囊肿引起的。如果考虑进行手术，症状与囊肿之间的因果关系应合理。
