脑室内非胶样神经上皮囊肿的诊断与治疗  

Diagnosis and treatment of non-colloid neuroepithelial cysts in the ventricles of the brain

作　　者：马振宇[1] 罗世祺[1] 贾桂军[1] 隋大力[1] 

机构地区：[1]北京天坛医院神经外科

出　　处：《中华神经外科杂志》1994年第2期92-94,共3页Chinese Journal of Neurosurgery

摘　　要：脑室内非胶样神经上皮囊肿临床少见，到目前为止国外文献只报道２１例，而国内文献尚无对本病的论述。本组报告７例，侧脑室３例，第四脑室３例，第三脑室１例，根据７例的手术及病理所见，结合国外文献，本文重点讨论有关脑室内非胶样神经上皮囊肿的来源，发病机理，临床表现，神经放射学特征和治疗方法。Abstract Seven patients with non colloid neuroepithelal cysts in the ventricles of the brain were hospitalized between 1992 and 1993. Among these cystic lesions. three were located in the trigone of the lateral ventricle. three in fourth ventricle, and one in thrid ventricle. The cysts in the trigona showed local cystic mass and enlargement of occipital horn in CT scans and MR images. The cysts of the thrid and fourth ventricle revealed cystic mass with similar density and signal of cerebrospinal fluid in CT scan and MR image.The diagnosis of non colloid neuroepithelal cysts is more appropriate to the lesion of ependyma and choroid plexus demonstrated pathologically because the tissues originate from neuroepithelia. Our experience suggested that the cysts should be removed, the peritoneal-cyst shunt was not effective surgically for remove obstruction of ventricular system and pressure of the brain stem.

关 键 词：脑室 非胶样 神经上皮囊肿 

分 类 号：R742.89[医药卫生—神经病学与精神病学]