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化脓性脑膜炎后中颅窝蛛网膜囊肿的自发消失

Spontaneous disappearance of a middle cranial fossa arachnoid cyst after suppurative meningitis.

作者信息

Yoshioka H, Kurisu K, Arita K, Eguchi K, Tominaga A, Mizoguchi N, Tajima T

机构信息

Department of Neurosurgery and Pediatrics, Hiroshima University School of Medicine, Japan.

出版信息

Surg Neurol. 1998 Nov;50(5):487-91. doi: 10.1016/s0090-3019(97)00192-4.

Abstract

BACKGROUND

Spontaneous disappearance of an arachnoid cyst is very rare, particularly after suppurative meningitis.

CASE REPORT

A 2-month-old boy with a high fever was diagnosed with suppurative meningitis by cerebrospinal fluid examination. Computed tomography disclosed a large arachnoid cyst in the left middle cranial fossa. Two months later, the meningitis was cured. The arachnoid cyst disappeared with long-term antibiotic therapy alone.

CONCLUSION

Although an infected arachnoid cyst may disappear with antibiotic treatment alone, careful observation and individualized patient management are essential.

摘要

背景

蛛网膜囊肿自发消失极为罕见,尤其是在化脓性脑膜炎之后。

病例报告

一名2个月大的高热男婴经脑脊液检查被诊断为化脓性脑膜炎。计算机断层扫描显示左侧中颅窝有一个大的蛛网膜囊肿。两个月后,脑膜炎治愈。仅通过长期抗生素治疗,蛛网膜囊肿就消失了。

结论

尽管感染性蛛网膜囊肿可能仅通过抗生素治疗就会消失,但仔细观察和个体化的患者管理至关重要。

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