脑干表皮样囊肿3例及文献复习 |
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引用本文: | 汪雷,张力伟,吴震,张俊廷. 脑干表皮样囊肿3例及文献复习[J]. 中国微侵袭神经外科杂志, 2010, 15(5): 209-211 |
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作者姓名: | 汪雷 张力伟 吴震 张俊廷 |
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作者单位: | 首都医科大学附属北京天坛医院神经外科,100050 |
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摘 要: | 目的总结脑干表皮样囊肿的诊治经验。方法回顾性分析3例脑干表皮样囊肿病例的临床特点,均以肢体障碍、脑神经麻痹起病。均采用显微手术治疗,其中行右侧远外侧入路1例,行枕下后正中入路2例。结果病变均近全切除,术后无新发脑神经障碍、肢体偏瘫、共济失调等并发症。随访2例,结果良好;失访1例。结论脑干表皮样囊肿属于罕见的良性病变,多数以脑神经障碍起病,确诊需依靠病理。与一味追求全切除相比,相对保守的手术切除能给病人带来更良好的预后。
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关 键 词: | 表皮囊肿 脑干 枕下后正中入路 |
Epidermoid cyst in the brainstem:report of 3 cases and literature review |
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Affiliation: | Wang Lei,Zhang Liwei,Wu Zhen,et al. Department of Neurosurgery,Beijing Tiantan Hospital,Capital Medical University,Beijing 100050,China |
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Abstract: | Objective To review the experiences with diagnosis and treatment of epidermoid cyst (EC) in the brain stem. Methods Clinical characteristics of brain stem EC were analyzed retrospectively in 3 patients. They all began with extremity dysfunction and cranial nerve palsy,and microsurgical operation was performed via right far-lateral approach in 1 patient and suboccipital approach in 2 patients. Results All the lesions were almost totally removed without postoperative complications such as new cranial nerve palsy,limb hemiplegia and ataxia. Good follow-up results were obtained in 2 patients and 1 was lost to follow-up. Conclusions Brain stem EC is a rare benign lesion,with onset of cranial nerve dysfunction in most patients,and can be confirmed by pathological diagnosis. Compared with radical removal,better prognosis can be achieved by relatively conservative resection. |
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Keywords: | epidermal cyst brain stem suboccipital posteromedian approach |
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