神经内镜扩大经鼻-垂体移位切除三脑室-脚间池巨大皮样囊肿1例并文献复习  

A case of resection of intracranial giant dermoid cyst in third ventricle and interpeduncular cistern by extended endoscopic endonasal pituitary transposition and literature review

作　　者：刘齐东 金彪[2] 牟家民 龚洋 杨刚 IU Qi-dong;JIN Biao;MOU Jia-min(Graduate School of Chongqing Medical University, Chongqing 400016, China)

机构地区：[1]重庆医科大学研究生院,重庆400016 [2]重庆医科大学附属第一医院神经外科 [3]四川省医学科学院•四川省人民医院东院

出　　处：《临床神经外科杂志》2021年第2期222-225,共4页Journal of Clinical Neurosurgery

摘　　要：目的探讨神经内镜扩大经鼻-垂体移位切除三脑室-脚间池巨大皮样囊肿的疗效及并发症。方法回顾分析1例行神经内镜下扩大经鼻垂体移位切除三脑室-脚间池巨大皮样囊肿的女性患者的临床资料。并复习传统开颅手术及神经内镜下垂体移位切除中线区肿瘤的相关文献。结果应用神经内镜扩大经鼻垂体移位完整切除了患者的三脑室-脚间池巨大皮样囊肿。术后患者出现了短暂的尿崩,经对症处理,完全恢复健康,无永久性尿崩及永久性垂体功能减退。结论神经内镜扩大经鼻蝶垂体移位切除三脑室-脚间池皮样囊肿,无需牵拉重要脑组织及血管,手术创伤小、并发症少,是一种有效的手术方法。Objective To study the curative effect of resection of intracranial giant dermoid cyst between the third ventricle and interpeduncular cistern by extended endoscopic endonasal pituitary transposition.Methods The clinical data,surgical effect and complications of a female patient whose dermoid cyst in the third ventricle and interpeduncular cistern resected by extended endoscopic endonasal pituitary transposition were analyzed retrospectively.The literature of traditional craniotomy and extended endoscopic endonasal pituitary transposition for the resection of midline tumors were reviewed.Results The giant dermoid cyst between the third ventricle and interpeduncular cistern was completely resected by extended endoscopic endonasal pituitary transposition.After the surgery,the patient had a transient diabetes insipidus and recovered without permanent diabetes insipidus and permanent pituitary dys-function.Conclusions Extended endoscopic endonasal pituitary transposition for resection of dermoid cyst in the third ventricle and interpeduncular cisternt which does not need to manipulate important brain tissues and blood vessels.It is a minimally invasive and effective surgical method.

关 键 词：颅内皮样囊肿 脚间池 神经内镜 垂体移位 

分 类 号：R743.1[医药卫生—神经病学与精神病学]