Coexistence of Trigonocephaly and Sylvian Arachnoid Cysts: A Coincidence?

IF 0.9 4区医学 Q4 CLINICAL NEUROLOGY Pediatric Neurosurgery Pub Date : 2024-01-01 Epub Date: 2024-03-26 DOI:10.1159/000538559

Federico Bianchi, Ludovico Agostini, Paolo Frassanito, Luca Massimi, Gianpiero Tamburrini

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Abstract

Introduction: The association between trigonocephaly and Sylvian fissure arachnoid cysts (ACs) has been occasionally reported in the literature. However, the real incidence of this association and its clinical relevance remain unknown.

Methods: The authors collected and retrospectively reviewed all clinical charts and CT scans of patients surgically treated for trigonocephaly at the Pediatric Neurosurgical Department of Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS from January 2014 to June 2023.

Results: During the study period, 136 patients with trigonocephaly underwent surgery. Analysis of the clinical charts revealed that in 39.7% of the cases (54/136), preoperative CT scan depicted the presence of a Sylvian fissure AC. Of these, AC was bilateral in 23 cases and unilateral in the remaining 31. All unilateral ACs were on the left side. The ACs were classified as Galassi grade I in 52 cases (96.3%) and Galassi grade II in 2 cases (3.7%). Interestingly, in 1 case we reported a Galassi grade I AC enlargement during follow-up, thereby necessitating surgical fenestration.

Conclusion: ACs and trigonocephaly are well-known conditions for pediatric neurosurgeons; however, their association is poorly defined. Despite the lack of reports on the incidence and clinical significance of this association, it is worth knowing that radiological follow-up is essential in monitoring AC evolution.

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三头颅和西尔维蛛网膜囊肿并存：巧合？

引言文献[1,2]中偶尔报道了三头颅与颅裂蛛网膜囊肿（AC）之间的关联。然而，这种关联的实际发生率及其临床意义仍不得而知。方法作者收集并回顾性审查了 2014 年 1 月至 2023 年 6 月期间在 Fondazione Policlinico Universitario "Agostino Gemelli" IRCCS 小儿神经外科接受手术治疗的三头颅患者的所有临床病历和 CT 扫描。结果在研究期间，136 名三头颅患者接受了手术治疗。临床病历分析显示，39.7%的病例（54/136）术前CT扫描显示存在颅裂蛛网膜囊肿。其中，23 例为双侧蛛网膜囊肿，其余 31 例为单侧。所有单侧 AC 均位于左侧。52例（96.3%）蛛网膜囊肿被划分为Galassi I级，2例（3.7%）被划分为Galassi II级[3]。有趣的是，有一例患者在随访期间出现了 Galassi I 级 AC 扩大，因此需要进行手术切除。结论 ACs 和三头畸形是小儿神经外科医生所熟知的病症，但它们之间的关联还没有得到很好的界定。尽管缺乏有关这种关联的发生率和临床意义的报告，但值得注意的是，放射学随访对于监测 AC 的演变至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Neurosurgery 医学-临床神经学

CiteScore

1.30

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Articles in ''Pediatric Neurosurgery'' strives to publish new information and observations in pediatric neurosurgery and the allied fields of neurology, neuroradiology and neuropathology as they relate to the etiology of neurologic diseases and the operative care of affected patients. In addition to experimental and clinical studies, the journal presents critical reviews which provide the reader with an update on selected topics as well as case histories and reports on advances in methodology and technique. This thought-provoking focus encourages dissemination of information from neurosurgeons and neuroscientists around the world that will be of interest to clinicians and researchers concerned with pediatric, congenital, and developmental diseases of the nervous system.