儿童颅内皮样囊肿合并感染1例并文献复习
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摘要
目的:探讨颅内皮样囊肿的临床表现、诊断、治疗及并发症。方法:回顾性分析我院1例颅内皮样囊肿合并感染患儿的临床资料,并结合文献复习,总结其临床表现、诊断及治疗。结果:本例患儿出现了囊内感染,经手术切除后患儿预后良好。结论:儿童颅内皮样囊肿发病率低,一般预后良好,可出现囊内感染、无菌性脑膜炎、脑积水等并发症,核磁共振在诊断中起重要作用,手术是其主要治疗方式。
Objective: To explore the clinical features,diagnosis,treatment and complications of dermoid cyst.Methods: Clinical materials of a case of intracranial dermoid cyst with infection in our hospital was analyzed retrospectively,then the clinical features,diagnosis and treatment were summarized by combination with the literatures. Results: Infection in the capsule appeard in this case,the prognosis is good after the operation. Conlusion: There is a low incidence rate of intracranial dermoid cyst in pediatric patients,the general prognosis is good. The complications of inner cyst infection,aseptic meningitis,hydrocephalus and other complications can appeared. MRI plays an important role in the diagnosis of the disease. Surgery is the main treatment method.
Objective: To explore the clinical features,diagnosis,treatment and complications of dermoid cyst.Methods: Clinical materials of a case of intracranial dermoid cyst with infection in our hospital was analyzed retrospectively,then the clinical features,diagnosis and treatment were summarized by combination with the literatures. Results: Infection in the capsule appeard in this case,the prognosis is good after the operation. Conlusion: There is a low incidence rate of intracranial dermoid cyst in pediatric patients,the general prognosis is good. The complications of inner cyst infection,aseptic meningitis,hydrocephalus and other complications can appeared. MRI plays an important role in the diagnosis of the disease. Surgery is the main treatment method.
引文
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[2]Akdemir G,Da4lio9lu E,Ergüng?r MF.Dermoid lesion of thecavernous sinus:Case report and review of the literature[J].Neurosurg Rev,2004,27(4):294-298.
[3]Caldarelli M,Massimi L,Kondageski C,et al.Intracranial midline dermoid and epidermoid cysts in children[J].J Neurosurg,2004,100(5 Suppl Pediatrics):473-480.
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[5]Schijman E,Monges J,Cragnaz R.Congenital dermalsinuses,dermoid and epidermoid cysts of the posterior fossa[J].Childs Nerv Syst,1986,2(2):83-89.
[6]Orozco-Covarrubias L,Lara-Carpio R,Saez-De-Ocare,et al.Dermoid cysts:A report of 75 pediatricpatients[J].Pediatr Dermatol,2013,30(6):706-711.
[7]Chu W,Feng H,Zhu G,et al.Intradural dermoid cyst located on the ventral surface of the brainstem in a child[J].Surg Neurol,2008,70(5):531-535.
[8]Schneider UC,Koch A,Stenzel W,et al.Intracranial,supratentorial dermoid cysts in pediatric patients-two casesand a review of the literature[J].Childs Nerv Syst,2012,28(2):185-190.
[9]Wang ZF,Wang YJ,Wang YB.A case of intracranial dermoid cyst with infection[J].Chin J Neurosurg,2011,27(6):639.[王占福,王运杰,王义宝.皮样囊肿合并颅内感染一例[J].中华神经外科杂志,2011,27(6):639.]
[10]Li ZL,Guo KQ,Yu RT,et al.Surgical treatment of children,4th ventricle tumors:Report of 29 cases[J].Acta Acadmiae Medicinae Xuzhou,2004,24(4):338-340.[李中林,郭克勤,于如同,等.儿童第四脑室肿瘤手术治疗29例报告[J].徐州医学院学报,2004,24(4):338-340.]
[11]Orakcioglu B,Halatsh ME,Fortunati M,et al.Intracranial dermoid cysts:Variationsof radiological and clinical features[J].Acta Neurochir,2008,150:1227-1234.
[12]Smirniotopoulos JG,Chiechi MV.Teratomas,dermoids,andepidermoids of the head and neck[J].Radiographics,1995,15(6):1437-1455.
[13]Zuo QH.Neurologic diseases of chilidhood[M].Beijing:People's Health Publishing House,2012:108[左启华.小儿神经系统疾病[M].北京:人民卫生出版社,2002:108.]
[14]Liu JK,Gottfried ON,Salzman KL,et al.Rupturedintracranial dermoid cysts:Clinical,radiographic,andsurgicalfeatures[J].Neurosurgery,2008,62(2):377-384.
[15]Park JG,Babu R,Kranz PG,et al.Intraaxial dermoid cyst of themedulla[J].J Neurosurg,2013,119(2):442-445.
[16]Mistry D,Figueroa B.An elongated pituitary stalk resemblingthe lining of a dermoid cyst during endoscopic endonasal approach[J].Otolaryngol Head Neck Surg,2015,153(1):150-151.
[17]Esquenazi Y,Kerr K,Bhattacharjee MB,et al.Traumaticrupture of an intracranial dermoid cyst:Case reportand literature review[J].Surg Neural Int,2013,4:80.
[18]Antoniades E,Themistocleous M,Drosos E,et al.Brainstem dermoid cyst rupture with hydrocephalusin a child[J].Oxf Med Case Reports,2017,9:157-158.
[19]Koh YC,Choi JW,Moon WJ,et al.Intracranial dermoidcyst ruptured into the membranous labyrinth causing sudden sensorineuralhearing loss:CT and MR imaging findings[J].Am J Neuroradiol,2012,33(5):E69-71.
[20]Skovrlj B,Mascitelli JR,Steinberger JM,et al.Progressive visual loss following rupture of an intracranial dermoidcyst[J].J Clin Neurosci,2014,21(1):159-161.
[21]Morina A,Kelmendi F,Morina Q,et al.Cerebellar dermoid cyst with contrast enhancement mural nodule:Case report[J].Acta Clin Croat,2014,53(4):479-482.
[22]Brown JY,Morokoff AP,Mitchell PJ,et al.Unusual imagingappearance of an intracranial dermoid cyst[J].Am J Neuroradiol,2001,22(10):1970-1972.
[23]Ammirati M,Delgado M,Slone HW,et al.Extraduraldermoid tumor of the petrousapex.Case report[J].J Neurosurg,2007,107(2):426-429.
[24]Triplett TM,Griffith A,Hatanpaa KJ,et al.Dermoid cyst of the infratemporal fossa:Case report and review of the literature[J].JNeurol Surg Rep,2014,75(1):e33-37.
[25]Carvalho GA,Cervio A,Matthies C,et al.Subarachnoid fat dissemination after resection of a cerebellopontine angle dysontogenic cyst:Case report and review of the literature[J].Neurosurgery,2000,47(3):760-763.
[26]R Kouadria,M Derkaoui.Dermoid cysts of the posterior cerebral fossa in children revealed by recurrentaseptic meningitis:Report of two cases and a review of the literature[J].Neurochirurgie,2018,64(1):68-72.
[27]Lynch JC,Aversa A,Pereira C,et al.Surgical strategyfor intracranial dermoid and epidermoid tumors:An experiencewith 33 Patients[J].Surg Neural Int,2014,5:163.
[28]Raghunath A,Indira Devi B,Bhat DI,et al.Dermoidcysts of the posterior fossa-morbid associations of a benign lesion[J].Br JNeurosurg,2013,27(6):765-771.
[29]Linkov G,Kanev PM,Isaacson G.Conservative management of typical pediatric postauricular dermoid cysts[J].Int J Pediatric Otorhinolaryngol,2015,79(11):1810-1813.
[30]Park SK,Cho KG.Recurrent intracranial demoid cyst after subtotal removal of traumatic rupture[J].Clin Neurol Neurosurg,2012,114(4):421-424.
[31]Ayhan A,Tuncer ZS,Bilgin F,et al.Squamous cell carcinoma arising in dermoid cyst[J].Eur J Gynaecol Oncol,1996,17(2):144-147.
[32]Osborn AG,Preece MT.Intracranialcyst:Radiologic-pathologic correlation and imaging aproach[J].Radiology,2006,239(3):650-654.
[33]Tsugu H,Fukushima T,Hayashi S,et al.Squamous cell carcinoma arising in an intracranial cyst-case report[J].Neurol Med Chir(Tokyo),2001,41(4):213-216.
[34]Mori Y,Suzuki Y,Tanasawa T,et al.A case report of epidermoid carcinoma in the cerebello-pontine angle[J].No Shinkei Geka,1995,23(10):905-909.
[2]Akdemir G,Da4lio9lu E,Ergüng?r MF.Dermoid lesion of thecavernous sinus:Case report and review of the literature[J].Neurosurg Rev,2004,27(4):294-298.
[3]Caldarelli M,Massimi L,Kondageski C,et al.Intracranial midline dermoid and epidermoid cysts in children[J].J Neurosurg,2004,100(5 Suppl Pediatrics):473-480.
[4]Lunardi P,Missori P,Gagliardi FM,et al.Dermoidcysts of the posterior cranial fossa in children.Report of nine casesand review of the literature[J].Surg Neurol,1990,34(1):39-42.
[5]Schijman E,Monges J,Cragnaz R.Congenital dermalsinuses,dermoid and epidermoid cysts of the posterior fossa[J].Childs Nerv Syst,1986,2(2):83-89.
[6]Orozco-Covarrubias L,Lara-Carpio R,Saez-De-Ocare,et al.Dermoid cysts:A report of 75 pediatricpatients[J].Pediatr Dermatol,2013,30(6):706-711.
[7]Chu W,Feng H,Zhu G,et al.Intradural dermoid cyst located on the ventral surface of the brainstem in a child[J].Surg Neurol,2008,70(5):531-535.
[8]Schneider UC,Koch A,Stenzel W,et al.Intracranial,supratentorial dermoid cysts in pediatric patients-two casesand a review of the literature[J].Childs Nerv Syst,2012,28(2):185-190.
[9]Wang ZF,Wang YJ,Wang YB.A case of intracranial dermoid cyst with infection[J].Chin J Neurosurg,2011,27(6):639.[王占福,王运杰,王义宝.皮样囊肿合并颅内感染一例[J].中华神经外科杂志,2011,27(6):639.]
[10]Li ZL,Guo KQ,Yu RT,et al.Surgical treatment of children,4th ventricle tumors:Report of 29 cases[J].Acta Acadmiae Medicinae Xuzhou,2004,24(4):338-340.[李中林,郭克勤,于如同,等.儿童第四脑室肿瘤手术治疗29例报告[J].徐州医学院学报,2004,24(4):338-340.]
[11]Orakcioglu B,Halatsh ME,Fortunati M,et al.Intracranial dermoid cysts:Variationsof radiological and clinical features[J].Acta Neurochir,2008,150:1227-1234.
[12]Smirniotopoulos JG,Chiechi MV.Teratomas,dermoids,andepidermoids of the head and neck[J].Radiographics,1995,15(6):1437-1455.
[13]Zuo QH.Neurologic diseases of chilidhood[M].Beijing:People's Health Publishing House,2012:108[左启华.小儿神经系统疾病[M].北京:人民卫生出版社,2002:108.]
[14]Liu JK,Gottfried ON,Salzman KL,et al.Rupturedintracranial dermoid cysts:Clinical,radiographic,andsurgicalfeatures[J].Neurosurgery,2008,62(2):377-384.
[15]Park JG,Babu R,Kranz PG,et al.Intraaxial dermoid cyst of themedulla[J].J Neurosurg,2013,119(2):442-445.
[16]Mistry D,Figueroa B.An elongated pituitary stalk resemblingthe lining of a dermoid cyst during endoscopic endonasal approach[J].Otolaryngol Head Neck Surg,2015,153(1):150-151.
[17]Esquenazi Y,Kerr K,Bhattacharjee MB,et al.Traumaticrupture of an intracranial dermoid cyst:Case reportand literature review[J].Surg Neural Int,2013,4:80.
[18]Antoniades E,Themistocleous M,Drosos E,et al.Brainstem dermoid cyst rupture with hydrocephalusin a child[J].Oxf Med Case Reports,2017,9:157-158.
[19]Koh YC,Choi JW,Moon WJ,et al.Intracranial dermoidcyst ruptured into the membranous labyrinth causing sudden sensorineuralhearing loss:CT and MR imaging findings[J].Am J Neuroradiol,2012,33(5):E69-71.
[20]Skovrlj B,Mascitelli JR,Steinberger JM,et al.Progressive visual loss following rupture of an intracranial dermoidcyst[J].J Clin Neurosci,2014,21(1):159-161.
[21]Morina A,Kelmendi F,Morina Q,et al.Cerebellar dermoid cyst with contrast enhancement mural nodule:Case report[J].Acta Clin Croat,2014,53(4):479-482.
[22]Brown JY,Morokoff AP,Mitchell PJ,et al.Unusual imagingappearance of an intracranial dermoid cyst[J].Am J Neuroradiol,2001,22(10):1970-1972.
[23]Ammirati M,Delgado M,Slone HW,et al.Extraduraldermoid tumor of the petrousapex.Case report[J].J Neurosurg,2007,107(2):426-429.
[24]Triplett TM,Griffith A,Hatanpaa KJ,et al.Dermoid cyst of the infratemporal fossa:Case report and review of the literature[J].JNeurol Surg Rep,2014,75(1):e33-37.
[25]Carvalho GA,Cervio A,Matthies C,et al.Subarachnoid fat dissemination after resection of a cerebellopontine angle dysontogenic cyst:Case report and review of the literature[J].Neurosurgery,2000,47(3):760-763.
[26]R Kouadria,M Derkaoui.Dermoid cysts of the posterior cerebral fossa in children revealed by recurrentaseptic meningitis:Report of two cases and a review of the literature[J].Neurochirurgie,2018,64(1):68-72.
[27]Lynch JC,Aversa A,Pereira C,et al.Surgical strategyfor intracranial dermoid and epidermoid tumors:An experiencewith 33 Patients[J].Surg Neural Int,2014,5:163.
[28]Raghunath A,Indira Devi B,Bhat DI,et al.Dermoidcysts of the posterior fossa-morbid associations of a benign lesion[J].Br JNeurosurg,2013,27(6):765-771.
[29]Linkov G,Kanev PM,Isaacson G.Conservative management of typical pediatric postauricular dermoid cysts[J].Int J Pediatric Otorhinolaryngol,2015,79(11):1810-1813.
[30]Park SK,Cho KG.Recurrent intracranial demoid cyst after subtotal removal of traumatic rupture[J].Clin Neurol Neurosurg,2012,114(4):421-424.
[31]Ayhan A,Tuncer ZS,Bilgin F,et al.Squamous cell carcinoma arising in dermoid cyst[J].Eur J Gynaecol Oncol,1996,17(2):144-147.
[32]Osborn AG,Preece MT.Intracranialcyst:Radiologic-pathologic correlation and imaging aproach[J].Radiology,2006,239(3):650-654.
[33]Tsugu H,Fukushima T,Hayashi S,et al.Squamous cell carcinoma arising in an intracranial cyst-case report[J].Neurol Med Chir(Tokyo),2001,41(4):213-216.
[34]Mori Y,Suzuki Y,Tanasawa T,et al.A case report of epidermoid carcinoma in the cerebello-pontine angle[J].No Shinkei Geka,1995,23(10):905-909.