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[蝶窦蛛网膜囊肿]

[Arachnoid cyst of the sphenoid sinus].

作者信息

Mewes T, Mann W

机构信息

Klinik für HNO-Heilkunde, Johannes-Gutenberg Universität Mainz.

出版信息

Laryngorhinootologie. 1998 Feb;77(2):107-10. doi: 10.1055/s-2007-996942.

DOI:10.1055/s-2007-996942
PMID:9555705
Abstract

BACKGROUND

Arachnoid cysts of the paranasal sinus are rare. They have not been described yet in the sphenoid sinus.

PATIENT AND METHOD

Microscopic-endoscopic endonasal surgery of the sphenoid sinus was performed on a 34-year-old female with a history of chronic headaches and a suspected mucocele of the sphenoid sinus in computed tomography (CT) and magnetic resonance imaging (MRI) studies. An extended arachnoid cyst was found in the enlarged sphenoid sinus, which was obliterated with collagen, fibrin glue, and abdominal fat.

RESULTS

There were no complications after the operation, and 12 months later the patient is still free of symptoms.

CONCLUSION

Arachnoidal cysts present in CT and MRI as fluid dense lesions that can imitate a mucocele.

摘要

背景

鼻窦蛛网膜囊肿罕见。蝶窦蛛网膜囊肿尚未见报道。

患者与方法

对一名34岁女性进行了蝶窦显微镜下鼻内镜手术,该患者有慢性头痛病史,计算机断层扫描(CT)和磁共振成像(MRI)检查怀疑为蝶窦黏液囊肿。在扩大的蝶窦中发现一个巨大的蛛网膜囊肿,用胶原、纤维蛋白胶和腹部脂肪将其填塞。

结果

术后无并发症,12个月后患者仍无症状。

结论

蛛网膜囊肿在CT和MRI上表现为液性致密病变,可类似黏液囊肿。

相似文献

1
[Arachnoid cyst of the sphenoid sinus].[蝶窦蛛网膜囊肿]
Laryngorhinootologie. 1998 Feb;77(2):107-10. doi: 10.1055/s-2007-996942.
2
Endonasal endoscopic treatment of parasellar arachnoid cyst: report of a case.经鼻内镜治疗鞍旁蛛网膜囊肿:病例报告
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Isolated sphenoid sinus mucocele: etiology and management.孤立性蝶窦黏液囊肿:病因与治疗
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Sphenoid sinus mucocele: late complication of Sphenoidotomy.蝶窦黏液囊肿:蝶窦切开术的晚期并发症。
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Sphenoid sinus mucocele: 10 cases and literature review.蝶窦黏液囊肿:10例报告并文献复习
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Isolated sphenoid sinus pathology: spectrum of diagnostic and treatment modalities.孤立性蝶窦病变:诊断与治疗方式谱
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引用本文的文献

1
Nontraumatic skull base defects with spontaneous CSF rhinorrhea and arachnoid herniation: imaging findings and correlation with endoscopic sinus surgery in 27 patients.伴有自发性脑脊液鼻漏和蛛网膜疝的非创伤性颅底缺损:27例患者的影像学表现及其与鼻内镜鼻窦手术的相关性
AJNR Am J Neuroradiol. 2008 Mar;29(3):542-9. doi: 10.3174/ajnr.A0840. Epub 2007 Dec 13.
2
Headache induced by an arachnoid cyst of the sphenoid sinus: a rare diagnosis problem?蝶窦蛛网膜囊肿引起的头痛:一个罕见的诊断问题?
Eur Arch Otorhinolaryngol. 2008 Jan;265(1):135-7. doi: 10.1007/s00405-007-0404-z. Epub 2007 Jul 26.