Bendszus M, Sörensen N, Hofmann E, Röll E, Solymosi L
Department of Neuroradiology, University of Würzburg, Germany.
Pediatr Neurosurg. 1998 Dec;29(6):304-8. doi: 10.1159/000028742.
Fusiform dilatations of the internal carotid artery (FDCA) represent a vascular complication following surgery for suprasellar tumors in children. In a long-term follow-up of 62 children we identified 7 children (11.3%) with a FDCA. In all children the FDCA was present within 15 months following surgery. It was not related to radiotherapy or a distinct histology. In 3 children the FDCA remained unchanged during the follow-up, in 3 children there was a progression and 1 child revealed a regression within 6 months. Clinically the FDCA was inapparent in all cases and not treated. In a follow-up study of an adult population who underwent surgery for suprasellar tumors no case of FDCA was encountered. Potential pathomechanisms and indications for treatment are discussed.
颈内动脉梭形扩张（FDCA）是儿童鞍上肿瘤手术后的一种血管并发症。在对62名儿童的长期随访中，我们发现7名儿童（11.3%）存在FDCA。所有儿童的FDCA均在手术后15个月内出现。它与放疗或特定组织学无关。3名儿童的FDCA在随访期间保持不变，3名儿童病情进展，1名儿童在6个月内病情有所缓解。临床上，所有病例的FDCA均不明显，未进行治疗。在一项对接受鞍上肿瘤手术的成年人群的随访研究中，未发现FDCA病例。文中讨论了潜在的发病机制和治疗指征。
