Nakayama T, Mori K, Maeda M
Department of Neurosurgery, Juntendo University, Izunagaoka Hospital, Shizuoka.
Neurol Med Chir (Tokyo). 1998 Aug;38(8):499-502. doi: 10.2176/nmc.38.499.
A 43-year-old male presented with headache localized in the right forehead. Computed tomography and magnetic resonance imaging demonstrated a cystic mass in the frontal sinus, with a huge extension into the anterior cranial fossa. The mass was removed by transcranial surgery. The cyst contained pus. Histological examination of the cyst wall revealed mucocele (pyocele). Pyocele with huge intracranial extension is rare and requires combined neurosurgery and otolaryngology for optimum treatment.
一名43岁男性因局限于右前额的头痛前来就诊。计算机断层扫描和磁共振成像显示额窦有一个囊性肿物，并向前颅窝大量延伸。该肿物通过经颅手术切除。囊肿内含有脓液。囊肿壁的组织学检查显示为黏液囊肿（脓性囊肿）。具有巨大颅内延伸的脓性囊肿很罕见，需要神经外科和耳鼻喉科联合进行最佳治疗。
