中颅底蛛网膜囊肿的内镜治疗

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1、ChildsNervSyst(2011)27:1121–1128DOI10.1007/s00381-011-1399-8ORIGINALPAPERAssessmentofendoscopictreatmentformiddlecranialfossaarachnoidcystsSong-baiGui&Xin-shengWang&Xu-yiZong&Chu-zhongLi&BoLi&Ya-zhuoZhangReceived:19October2010/Accepted:18January2011/Publishedonline:9February2011#Springer-Verla

2、g2011AbstractIntroductionBackgroundEndoscopiccystocisternotomyisoneofthreesurgicalmethodsusedtotreatmiddlecranialfossaarachnoidArachnoidcystsaccountfor1%ofallintracranialspace-cysts.Thereisdebateaboutwhichmethodisthebest.occupyinglesions[1].ThemostcommonsiteofarachnoidObjectiveTheaimofthisstud

3、yistoevaluatethecystsisthemiddlecranialfossa[2].Thepathogenesisofeffectivenessandsafetyofendoscopiccystocisternotomymiddlecranialfossaarachnoidcystsiscontroversial.Itisfortreatmentofarachnoidcystsofthemiddlecranialfossa.believedthatformationofthesecystsiscausedbyMethodsThirty-twopatientswithar

4、achnoidcystsoftheabnormalgrowthofarachnoidduringembryonicdevelop-middlecranialfossawhohadundergoneendoscopicment,i.e.,splittingofthearachnoidintotwolayersorcystocisternalfenestrationbetween2004and2009wererepeatedgrowthofthearachnoid.Thecystsarethenformedstudiedretrospectively.Datawereobtainedo

5、nclinicalandbycerebrospinalfluid(CSF)graduallyaccumulatingbetweenneuroradiologicalpresentation,indicationstotreat,surgicalthelayers.Expansionofthecystscompressesthetemporaltechnique,complications,andtheresultsofclinicalandlobe,causingsecondaryagenesisofthetemporallobe[3–6].neuroradiologicalfol

6、low-up.WhereasitisgenerallyagreedthatsurgicaltreatmentisResultsAmongthe27patientswithsymptomsbeforewarrantedformiddlefossaarachnoidcysts(MFACs)whensurgery,8haddisappearanceofsymptomsand17hadtherearespecificcyst-relatedclinicalsymptoms,[7–9]thereimprovementofsymptoms.Thecystwasreducedinsizeoris

7、considerablecontroversyaboutwhethersurgeryisitcompletelydisappearedin24(75%)patients.Thewarrantedforasymptomaticarachnoidcysts.Ontheotherincidencerateofcomplicationswas18.8%.hand,someauthorshavearguedthatsurgeryisnecessaryConclusionsEnd