中颅窝蛛网膜囊肿。

K von Wild
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引用次数: 46

摘要

本文回顾了18例颞叶蛛网膜囊肿的病因、临床和影像学表现、手术治疗和结果。颅中窝囊肿易受创伤,可导致出血进入囊肿或进入硬膜下间隙。CT或MRI扫描可诊断蛛网膜囊肿。如果颅内肿块病变伴有中线结构移位和颅内压增高,则行骨成形术,切除囊肿内侧壁至幕状切迹,并向基底池开放。18例均无手术及术后并发症。然而,一名男孩在3个月后由于脑膜下血肿引起的脑积水需要进行囊腹膜分流术,另外两名患者随后也进行了分流术。本文讨论无症状蛛网膜囊肿对脑功能和潜在风险的影响。
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Arachnoid cysts of the middle cranial fossa.

In 18 cases of temporal arachnoid cysts the etiology, clinical and radiographic findings, surgical treatment, and outcome are reviewed. Cysts of the middle cranial fossa are susceptible to trauma, which may cause bleeding either into the cyst or into the subdural space. CT or MRI scans are diagnostic in arachnoid cysts. In cases of intracranial mass lesion with displacement of the midline structures and increasing ICP, osteoplastic craniotomy is performed and the medial wall of the cyst is resected down to the tentorial notch, with opening into the basal cisterns. There were no operative or postoperative complications in 18 consecutive cases. However, one boy required a cystoperitoneal shunt 3 months later as a result of hydrocephalus following subdural hematoma and two other patients were also subsequently shunted. Asymptomatic arachnoid cysts are discussed with the respect to brain function and potential risks.

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