内镜下切除透明隔腔巨大胶质囊肿:说明性病例。

Surgical neurology international Pub Date : 2025-05-16 eCollection Date: 2025-01-01 DOI:10.25259/SNI_1082_2024
Nurali Ashirov, Murat Arlanbekov, Daniyar Teltayev, Berik Zhetpisbaev, Serik Akshulakov
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引用次数: 0

摘要

背景:胶体囊肿(CCs)是一种罕见的良性肿瘤,直径为bb0 ~ 30mm的被认为是巨大的CCs。透明隔腔(CSP)的巨大cc位于大脑难以到达的区域,可以通过显微外科和内窥镜切除。目前,观察到从显微外科切除到内镜下切除的转变,研究人员证明了内镜下切除比显微外科切除有几个好处。我们注意到缺乏研究说明内窥镜切除CSP的巨大CC。因此,我们决定展示一个在我院进行的罕见病例。病例描述:我们的患者是一名57岁的男性,患有头晕、头痛、恶心、尿失禁、短期健忘、步态失调、认知能力下降和视力模糊。最终诊断为CSP巨大CC,并合并闭塞性脑积水和头痛综合征。采用经鼻中隔入路行透明隔巨大CC的内镜切除。结论:术后无并发症发生。肿瘤完全切除,未见复发,术后3个月对照磁共振成像仅见肿瘤包膜。考虑到这些结果,我们得出结论,内镜下切除作为手术治疗位于透明隔的巨大cc的方法可能具有积极和安全的结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Endoscopic resection of a giant colloid cyst in the cavum septum pellucidum: Illustrative case.

Background: Colloid cysts (CCs) are a rare type of benign tumor, and the ones >30 mm in diameter are determined as giant CCs. The giant CCs of the cavum septum pellucidum (CSP) are located in the hard-to-reach areas of the brain, and they can be removed microsurgically and endoscopically. At present, the transition from the microsurgical resection to the endoscopic is observed, and researchers demonstrate several benefits of the endoscopic resection over the microsurgical. We noticed the absence of research illustrating the endoscopic resection of the giant CC of the CSP. Therefore, we decided to demonstrate a rare case performed in our hospital.

Case description: Our patient was a 57-year-old male who had suffered from dizziness, headache, nausea, urinary incontinence, short-term forgetfulness, gait ataxia, cognitive decline, and vision blurring. The eventual diagnosis of the giant CC in the CSP was established, and it was complicated by occlusive hydrocephalus and headache syndrome. The endoscopic resection of the giant CC in the septum pellucidum was performed using the endoscopic transseptal approach.

Conclusion: No complications were observed in the postoperative period. The tumor was removed completely, no recurrence was noted, and only a capsule of the tumor was observed in the control magnetic resonance imaging image taken 3 months after the operation. Considering these results, we conclude that endoscopic removal may have positive and safe outcomes as the surgical treatment method for the giant CCs located in the septum pellucidum.

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