CAJ | 학술논문

目的探讨电子神经内镜手术治疗第四脑室囊虫的价值.方法应用电子神经内镜对2例第四脑室内囊虫经中脑导水管进行手术摘除.其中1例术前MRI检查提示第四脑室内囊性病变;另1例术前检查提示病变位于第三脑室内,术中脑室探查时发现病变已经进入第四脑室.结果 2例第四脑室内囊虫均在神经内镜下完整摘除,术后患者无任何不良反应,脑脊液电影检查枕骨大孔区脑脊液流动良好.结论应用电子神经内镜能够方便地对脑室系统进行全面探查,神经内镜手术摘除第四脑室内囊虫创伤小,并发症少,住院时间短,费用低,应作为第四脑室囊虫的首选治疗.
목적 탐토전자신경내경수술치료제사뇌실낭충적개치.방법 응용전자신경내경대2례제사뇌실내낭충경중뇌도수관진행수술적제.기중1례술전MRI검사제시제사뇌실내낭성병변;령1례술전검사제시병변위우제삼뇌실내,술중뇌실탐사시발현병변이경진입제사뇌실.결과 2례제사뇌실내낭충균재신경내경하완정적제,술후환자무임하불량반응,뇌척액전영검사침골대공구뇌척액류동량호.결론 응용전자신경내경능구방편지대뇌실계통진행전면탐사,신경내경수술적제제사뇌실내낭충창상소,병발증소,주원시간단,비용저,응작위제사뇌실낭충적수선치료.
Objective To investigate the value of electrical flexible neuroendoscopic management of the fourth ventricular cysticercosis.Methods 2 cases of fourth ventricular cysticercosis were transaqueductally removed with an electrical flexible neuroendoscope.In one case,the preoperative MRI showed a cystic lesion in the fourth ventricle.In another case,the preoperative MRI showed the cystic lesion in the third ventricle,but during the course of exploration of ventricles under neuroeodoscope,the lesion was found to have migrated into the fourth ventricle.Results Complete excision of cysts in the fourth ventricle was performed in both patients with no significant operative or postoperative complications.Satisfactory postoperative CSF flow around foramen magnum was detected by cine phase-contrast magnetic resonance imaging.Conclusions The whole ventricular system can be explored easily with electrical flexible neuroendoscope.Electrical flexible neuroendoscopic management of the fourth ventricular cysticercosis should be the optimal choice due to its minimal invasion,less complications,shorter length of stay and cheaper treatment costs.