脑桥小脑角颅内神经直肠囊肿1例。

IF 0.4 Q4 SURGERY Journal of Surgical Case Reports Pub Date : 2025-01-15 eCollection Date: 2025-01-01 DOI:10.1093/jscr/rjae840
Nyoman Golden, Steven Awyono, Christopher Lauren, Dicky T Prakoso
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引用次数: 0

摘要

神经肠囊肿是一种罕见的良性肿瘤,常见于颈或胸脊髓,颅内发生极为罕见。本病例报告描述了一名52岁女性脑桥小脑角神经系统囊肿,表现为头痛和平衡障碍。磁共振成像(MRI)显示囊性病变引起脑积水,手术切除采用乙状结肠后入路。组织病理学分析证实该囊肿为A型神经肠,以纤毛柱状上皮和杯状细胞为特征。术后,患者症状明显改善。神经肠囊肿在影像学上可与其他囊性病变相似,使诊断复杂化。治疗通常包括手术切除,但由于囊肿粘附在附近的结构上,完全切除通常具有挑战性。复发率仍然很高,需要长期随访。本病例强调了鉴别诊断和精心的手术计划在处理神经肠囊肿以优化患者预后的重要性。
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Intracranial neurenteric cyst in the cerebellopontine angle: a case report.

Neurenteric cysts, rare benign tumors, are most often found in the cervical or thoracic spinal cord, with intracranial occurrences being extremely uncommon. This case report describes a 52-year-old female with a neurenteric cyst in the cerebellopontine angle, presenting with headaches and balance disturbances. Magnetic resonance imaging (MRI) revealed a cystic lesion causing hydrocephalus, and surgical removal was performed using a retrosigmoid approach. Histopathological analysis confirmed the cyst as Type A neurenteric, characterized by ciliated columnar epithelium and goblet cells. Postoperatively, the patient showed significant improvement with resolved symptoms. Neurenteric cysts can mimic other cystic lesions radiologically, complicating diagnosis. Management typically involves surgical excision, although complete removal is often challenging due to cyst adherence to nearby structures. Recurrence rates remain high, necessitating long-term follow-up. This case highlights the importance of differential diagnosis and careful surgical planning in managing neurenteric cysts to optimize patient outcomes.

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来源期刊
CiteScore
0.70
自引率
0.00%
发文量
559
审稿时长
11 weeks
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