脑室及室周囊性病变的病因探讨与治疗对策

Cystic lesions of cerebral ventricles and periventricle: etiology and treatment

目的本文探讨我院采用内窥镜治疗的26例脑室及脑室旁囊性病变的病因,以期在临床上对此类病变有进一步的了解,同时对患者的正确治疗提供新的思路。方法总结了2007年1月至2012年6月期间我科收治26例脑室及脑室旁囊性病变患者,其临床表现主要有头晕、头痛、恶心、呕吐等颅高压症状,也有癫痫、言语或肢体活动障碍。除一例行脑室-腹腔分流术之外,患者均行内窥镜手术治疗。结果所有26例患者中蛛网膜囊肿或脑室先天性囊肿13例,囊虫病9例,肿瘤4例。结论脑室囊性占位性病变的发原病因较多,内窥镜可以发现影像及其他检查未明确的病变。所以作者认为在脑室系统囊性疾病的治疗中,有条件者尽量采用内窥镜手术或探查,以明确病因诊断,有利于正确治疗患者。

Objective To investigate the causes and treatment of cystic lesions of cerebral ventricles and periventricle. Methods A total of 26 cases of cystic lesions of cerebral ventricles and periventricle admitted to our department from January 2007 to June 2012 were analyzed. Clinical manifestation included dizziness, headache, nausea, vomiting, seizures, aphasia and movement disturbances. Twenty-five patients were treated by neuroendoscope, while one patient by ventriculoperitoneal shunt. Results A total of 13 patients were diagnosed as arachnoid cysts or congenital cysts, 9 were cysticereiasis and 4 were tumors. Conclusion The causes of cystic lesions of cerebral ventricles and periventricle are various. Neurondoscope can detect the lesions which may be missed by imaging or other examinations. In the treatment of cystic lesions of cerebral ventricles and periventricle, endoscope is recommended to detect the causes of lesions and provide the proper treatnent.