Post-traumatic Intradiploic Leptomeningeal Cyst in Adult: A Case Report and Mini-Review of Literature

IF 0.2 Q4 EMERGENCY MEDICINE
Hossein Ghalaenovi, N. Eshraghi, A. Fattahi, M. Benam
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引用次数: 0

Abstract

Post-traumatic intradiploic leptomeningeal cyst (IDPTLC) manifests as an internal table disruption of the skull concomitant with a dural defect and intact external table after a previous skull fracture. It is very rare, especially in adults. We present a 30-year-old male with right occipital IDPTLC treated with duraplasty with allograft and cranioplasty with autograft ribs. Seventeen cases of IDPTLC in adulthood since 1978 were found in the literature; to the best of our knowledge, ours is the eighteenth case. Considering the possible etiology at the time of the first trauma, torn dura matter was not healed and retracted overtime. Also due to intracranial CSF pulsation, the disrupted inner table was widened and continuous force on the diploe caused a thinned swollen external table. We recommended performing overlying cranioplasty with autologous bone (rib or normal external table) with the edge of the duraplasty and the cranioplasty placed at different sites.
成人外伤性网膜内轻脑膜囊肿1例报告及文献复习
外伤性脑脊膜内轻脑膜囊肿(IDPTLC)表现为颅骨内壁破裂,伴硬脑膜缺损和颅骨外壁完整。这是非常罕见的,尤其是在成人中。我们报告一例30岁男性右枕部IDPTLC,采用同种异体硬脑膜成形术和自体肋骨颅骨成形术治疗。自1978年以来,文献中发现17例成人IDPTLC;据我们所知,我们的案例是第十八起。考虑到第一次创伤时可能的病因,撕裂的硬脑膜没有愈合,并随着时间的推移而缩回。同样由于颅内脑脊液的脉动,破裂的内表被加宽,持续的力作用于偶板造成外表变薄肿胀。我们建议使用自体骨(肋骨或正常外表)进行复盖颅骨成形术,硬脑膜成形术的边缘和颅骨成形术放置在不同的位置。
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来源期刊
Trauma monthly
Trauma monthly EMERGENCY MEDICINE-
CiteScore
0.60
自引率
0.00%
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