Treatment of a pontine neuroepithelial cyst by placement of a cystocisternal grommet |
| |
| Authors: | Vanessa J. Sammons Rebecca J. McNamara Erica Jacobson Bernard Kwok |
| |
| Affiliation: | 1. Department of Neurosurgery, Prince of Wales Hospital, Barker Street, Randwick, New South Wales 2031, Australia;2. Sydney Children’s Hospital, Randwick, New South Wales, Australia;1. Department of Neurosurgery, University Medicine Greifswald, Greifswald, Germany;2. Department of Neurosurgery, Kasr Al Ainy School of Medicine, Cairo University, Cairo, Egypt;1. University of North Texas Health Science Center, Fort Worth, Texas;2. Comprehensive Epilepsy Program, Cook Children''s Medical Center, Fort Worth, Texas;3. Department of Neurosurgery, Cook Children''s Medical Center, Fort Worth, Texas;1. Department of General Pathology, Christian Medical College, Vellore, India;2. Department of General Surgery Unit 1 – Head and Neck Oncosurgery, Christian Medical College, Vellore, India;3. Department of Dental and Oral Surgery, Christian Medical College, Vellore, India;1. Department of Psychiatry, Columbia College of Physicians and Surgeons/New York State Psychiatric Institute, New York, NY 10032, USA;2. Global Tuberculosis Programme, WHO, Geneva, Switzerland;3. Department of Mental Health and Substance Abuse, WHO, Geneva, Switzerland;4. Department of Psychiatry, University of Pennsylvania, Philadelphia, PA, USA;5. Foundation for Professional Development, Pretoria, South Africa;1. Department of Neurosurgery, West China Hospital of Sichuan University, Chengdu, Sichuan Province, P. R. China;2. Department of Pathology, West China Hospital of Sichuan University, Chengdu, Sichuan Province, P. R. China |
| |
| Abstract: | We describe an 8-year-old girl who presented with cranial nerve compression due to a brainstem cyst adjacent to the fourth ventricle and describe the first documented insertion of a grommet to form a conduit between a neuroepithelial cyst and ventricle. The patient presented with diplopia and headaches and was found to have the cystic lesion in the right pons. The patient underwent craniotomy, aspiration and fenestration with subsequent recurrence 8 months later. Definitive treatment involved insertion of a grommet. Surgical treatment of symptomatic neuroepithelial cysts can achieve full resolution of neurological deficits. Insertion of a grommet, as distinct from a shunt or fenestration procedure, has the potential to provide long-term resolution of these symptoms without recurrence. |
| |
| Keywords: | |
| 本文献已被 ScienceDirect 等数据库收录！ |
|
