Vallée B, Mériot P, Dam Hieu P, Person H
Service de Neuradiologie, Hôpital de la Cavale Blanche, Brest.
Neurochirurgie. 1997;43(5):303-7.
We report the case of a 27 year-old male patient in whom acute intracranial hypertension led to the diagnosis of a pineal hemorrhagic cyst as demonstrated by CT-scan and MRI examinations. Treatment consisted in stereotactic needle-aspiration following insertion of a ventriculo-peritoneal shunt. Pathological examination confirmed a benign glial lesion. The outcome was good as complete shrinkage of the cyst and complete relief of the signs and symptoms were achieved. These clinical and radiological results persisted over four years. Approximately 70 cases of symptomatic benign pineal cysts have been reported to-date. Surgical excision has been the method of choice. The present case and twelve other cases of stereotactic management of the condition in the literature suggest the interest of a mere stereotactic needle aspiration of these lesions.
我们报告了一例27岁男性患者，其急性颅内高压经CT扫描和MRI检查确诊为松果体出血性囊肿。治疗方法是在插入脑室-腹腔分流管后进行立体定向针吸术。病理检查证实为良性胶质病变。结果良好，囊肿完全缩小，体征和症状完全缓解。这些临床和影像学结果持续了四年。迄今为止，大约已报告了70例有症状的良性松果体囊肿病例。手术切除一直是首选方法。本文病例以及文献中其他12例该疾病的立体定向治疗病例表明，对这些病变单纯进行立体定向针吸术是有意义的。
