儿童症状性透明隔囊肿的临床诊断特征及其神经内镜治疗  

The clinical character and neuroendoscopic surgery of symptomatic septum pellucidum cyst in children

作　　者：颜世清[1] 张浩[1] 孔令胜[1] 郭强[1] 张军臣[1] 靳峰[1] 

机构地区：[1]济宁医学院附属医院神经外科,272029

出　　处：《中华诊断学电子杂志》2013年第1期-,共2页Chinese Journal of Diagnostics(Electronic Edition)

基　　金：国家自然科学基金(81071779)

摘　　要：目的 探讨儿童症状性透明隔囊肿的临床诊断特征、手术指征、神经内镜手术操作方法.方法 以2004年5月至2011年6月确诊的8例儿童症状性透明隔囊肿患者为研究对象,分析其临床诊断特征并进行文献复习.结果 8例症状性透明隔囊肿儿童患者,以阵发性头痛、癫痫、间歇性高热为主要临床表现,排除其他病变的可能,CT及MRI检查透明隔囊肿最大宽度12～ 25 mm,全部应用神经内镜行透明隔囊壁造瘘术(单侧5例,双侧3例).随访5.5年,8例患者术后头痛症状基本消失,未再出现癫痫发作.结论 儿童透明隔囊肿的临床特征主要为头痛、癫痫发作、注意力和智力改变等,因此对儿童透明隔囊肿结合影像学检查,仔细认真分析病史及神经系统检查十分重要；神经内镜透明隔囊肿造瘘是治疗儿童症状性透明隔囊肿最有效和微创的方法.Objective To explore the clinical character,operation indication and endoscopicsurgical methods of the symptomatic septum pellucidum cyst. Methods Eight children with septum pellucidum cyst who admitted to our hospital from May 2004 to June 2011 were enrolled in this study. Results Eight patients( underal in 5cases,bilateral in 3 cases) had significant symptomatic septum pellucidum cysts in pediatric patients were carried out septum pellucidum cyst wall colostomy by neural endoscopic( Zeppelin,Germany).These patients with paroxysmal headache,epilepsy,intermittent fever as the main clinical manifestations,rule out the possibility of other lesions,the maximum width of the septum pellucidum cysts is 12 ~ 25 mm in CT and MRI. Followed-up for 5. 5 years,8 cases with postoperative headache has almost disappear and not appeared epileptic seizures. Conclusions Neuroendoscopic cyst-lateral ventricle ventriculostomy for septum pellucidum cysts are the most effective and minimally invasive method,patients with symptomatic septum pellucidum should be treated as soon as possible.

关 键 词：透明隔囊肿 神经内窥镜 造瘘术 

分 类 号：R726.5[医药卫生—儿科]