{"title":"眼科评估在蛛网膜囊肿破裂导致颅内压增高的保守治疗中的重要性。","authors":"Rafael Lani-Louzada, Frederico Castelo Moura","doi":"10.1080/01658107.2023.2228398","DOIUrl":null,"url":null,"abstract":"<p><p>Arachnoid cysts (ACs) are cerebrospinal fluid collections between the two layers of the normal arachnoid membrane. Although they are often asymptomatic with a stationary course, eventual complications may occur. Herein, we report the case of a 9-year-old boy who developed bilateral papilloedema secondary to spontaneous rupture of an AC in the left middle cranial fossa. Although the papilloedema worsened during follow-up, his visual field remained bilaterally stable, supporting the expectant management and obviating the potential morbidity associated with neurosurgical intervention. This case report highlights the importance of a multidisciplinary approach to patients with secondary intracranial hypertension, including serial ophthalmological examinations, which provide a useful guide to surgical decision-making.</p>","PeriodicalId":23233,"journal":{"name":"Transactions of the Indian Ceramic Society","volume":"58 1","pages":"348-351"},"PeriodicalIF":1.5000,"publicationDate":"2023-07-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11321423/pdf/","citationCount":"0","resultStr":"{\"title\":\"Importance of Ophthalmological Evaluation in the Conservative Management of Increased Intracranial Pressure from a Ruptured Arachnoid Cyst.\",\"authors\":\"Rafael Lani-Louzada, Frederico Castelo Moura\",\"doi\":\"10.1080/01658107.2023.2228398\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Arachnoid cysts (ACs) are cerebrospinal fluid collections between the two layers of the normal arachnoid membrane. Although they are often asymptomatic with a stationary course, eventual complications may occur. Herein, we report the case of a 9-year-old boy who developed bilateral papilloedema secondary to spontaneous rupture of an AC in the left middle cranial fossa. Although the papilloedema worsened during follow-up, his visual field remained bilaterally stable, supporting the expectant management and obviating the potential morbidity associated with neurosurgical intervention. This case report highlights the importance of a multidisciplinary approach to patients with secondary intracranial hypertension, including serial ophthalmological examinations, which provide a useful guide to surgical decision-making.</p>\",\"PeriodicalId\":23233,\"journal\":{\"name\":\"Transactions of the Indian Ceramic Society\",\"volume\":\"58 1\",\"pages\":\"348-351\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2023-07-13\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11321423/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Transactions of the Indian Ceramic Society\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1080/01658107.2023.2228398\",\"RegionNum\":4,\"RegionCategory\":\"材料科学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/1/1 0:00:00\",\"PubModel\":\"eCollection\",\"JCR\":\"Q3\",\"JCRName\":\"MATERIALS SCIENCE, CERAMICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Transactions of the Indian Ceramic Society","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1080/01658107.2023.2228398","RegionNum":4,"RegionCategory":"材料科学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"MATERIALS SCIENCE, CERAMICS","Score":null,"Total":0}
引用次数: 0
摘要
蛛网膜囊肿(AC)是正常蛛网膜两层之间的脑脊液聚集。虽然蛛网膜囊肿通常无症状,病程稳定,但最终可能出现并发症。我们在此报告了一例 9 岁男孩的病例,他因左侧中颅窝的 AC 自发性破裂而继发双侧乳头水肿。虽然乳头水肿在随访期间有所恶化,但他的双侧视野仍然保持稳定,这支持了预期治疗,避免了神经外科干预可能带来的发病率。本病例报告强调了对继发性颅内高压患者采取多学科治疗方法的重要性,其中包括连续的眼科检查,这为手术决策提供了有用的指导。
Importance of Ophthalmological Evaluation in the Conservative Management of Increased Intracranial Pressure from a Ruptured Arachnoid Cyst.
Arachnoid cysts (ACs) are cerebrospinal fluid collections between the two layers of the normal arachnoid membrane. Although they are often asymptomatic with a stationary course, eventual complications may occur. Herein, we report the case of a 9-year-old boy who developed bilateral papilloedema secondary to spontaneous rupture of an AC in the left middle cranial fossa. Although the papilloedema worsened during follow-up, his visual field remained bilaterally stable, supporting the expectant management and obviating the potential morbidity associated with neurosurgical intervention. This case report highlights the importance of a multidisciplinary approach to patients with secondary intracranial hypertension, including serial ophthalmological examinations, which provide a useful guide to surgical decision-making.
期刊介绍:
Transactions of the Indian Ceramic Society is a quarterly Journal devoted to current scientific research, technology and industry-related news on glass and ceramics. The Journal covers subjects such as the chemical, mechanical, optical, electronic and spectroscopic properties of glass and ceramics, and characterization of materials belonging to this family.
The Editor invites original research papers, topical reviews, opinions and achievements, as well as industry profiles for publication. The contributions should be accompanied by abstracts, keywords and other details, as outlined in the Instructions for Authors section. News, views and other comments on activities of specific industries and organizations, and also analyses of industrial scenarios are also welcome.