両側の中頭蓋窩くも膜のう胞との交通を認めた鞍上部くも膜のう胞症の1例
鞍上部くも膜のう胞に対する治療法として内視鏡下でのVentriculo-cysto-cisternostomy（VCC）がある．発達遅滞の精査にて鞍上部および両側の中頭蓋窩くも膜のう胞を認めた1歳3か月の男児例に対しVCCを行った．左側のう胞との隔壁に小孔を認め，交通がある可能性を考えのう胞間開窓は行わなかった．術後経過では全てのくも膜のう胞の縮小を認めた．鞍上部くも膜のう胞に他のくも膜のう胞が接している場合，のう胞間の交通があることもあるため，一つののう胞の開窓のみでも有効である場合があることが示された．...
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| Published in | 小児の脳神経 Vol. 47; no. 3; pp. 330 - 334 |
|---|---|
| Main Authors | , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本小児神経外科学会
2022
日本小児神経外科学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0387-8023 2435-824X |
| DOI | 10.34544/jspn.47.3_330 |
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| Abstract | 鞍上部くも膜のう胞に対する治療法として内視鏡下でのVentriculo-cysto-cisternostomy（VCC）がある．発達遅滞の精査にて鞍上部および両側の中頭蓋窩くも膜のう胞を認めた1歳3か月の男児例に対しVCCを行った．左側のう胞との隔壁に小孔を認め，交通がある可能性を考えのう胞間開窓は行わなかった．術後経過では全てのくも膜のう胞の縮小を認めた．鞍上部くも膜のう胞に他のくも膜のう胞が接している場合，のう胞間の交通があることもあるため，一つののう胞の開窓のみでも有効である場合があることが示された． |
|---|---|
| AbstractList | 鞍上部くも膜のう胞に対する治療法として内視鏡下でのVentriculo-cysto-cisternostomy（VCC）がある．発達遅滞の精査にて鞍上部および両側の中頭蓋窩くも膜のう胞を認めた1歳3か月の男児例に対しVCCを行った．左側のう胞との隔壁に小孔を認め，交通がある可能性を考えのう胞間開窓は行わなかった．術後経過では全てのくも膜のう胞の縮小を認めた．鞍上部くも膜のう胞に他のくも膜のう胞が接している場合，のう胞間の交通があることもあるため，一つののう胞の開窓のみでも有効である場合があることが示された． 「要旨」 鞍上部くも膜のう胞に対する治療法として内視鏡下でのVentriculo-cysto-cisternostomy(VCC)がある. 発達遅滞の精査にて鞍上部および両側の中頭蓋窩くも膜のう胞を認めた1歳3か月の男児例に対しVCCを行った. 左側のう胞との隔壁に小孔を認め, 交通がある可能性を考えのう胞間開窓は行わなかった. 術後経過では全てのくも膜のう胞の縮小を認めた. 鞍上部くも膜のう胞に他のくも膜のう胞が接している場合, のう胞間の交通があることもあるため, 一つののう胞の開窓のみでも有効である場合があることが示された. |
| Author | 内藤, 信晶 埜中, 正博 淺井, 昭雄 |
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| References | [4] Crimmins DW, Pierre-Kahn A, Sainte-Rose C, Zerah M: Treatment of suprasellar cysts and patient outcome. J Neurosurg 105: 107-114, 2006. [13] Wang JC, Heier L, Souweidane MM: Advances in the endoscopic management of suprasellar arachnoid cysts in children. J Neurosurg 100: 418-426, 2004. [6] Fewel ME, Levy ML, McComb JG: Surgical treatment of 95 children with 102 intracranial arachnoid cysts. Pediatr Neurosurg 25: 165-173, 1996. [5] El-Ghandour NM: Endoscopic treatment of suprasellar arachnoid cysts in children. J Neurosurg Pediatr 8: 6-14, 2011. [11] Laviv Y, Michowitz S: Acute intracranial hypertension and shunt dependency following treatment of intracranial arachnoid cyst in a child: a case report and review of the literature. Acta Neurochir (Wien) 152: 1419-1423; discussion 1422-1413, 2010. [2] Chen D, Zhang J, Wu L, Li X, Ma S, Zhu X, Yan D: Neuroendoscopic treatment of multiple intracranial arachnoid cysts: a case report. Chin Neurosurg J 4: 19, 2018. [10] Koc G, Altay C, Bozkurt T, Varer M, Oyar O: Multiple intracranial arachnoid cysts. JBR-BTR 95: 339, 2012. [3] Chen Y, Fang HJ, Li ZF, Yu SY, Li CZ, Wu ZB, Zhang YZ: Treatment of middle cranial fossa arachnoid cysts: a systematic review and meta-analysis. World Neurosurg 92: 480-490 e482, 2016. [1] Amelot A, Beccaria K, Blauwblomme T, Bourgeois M, Paternoster G, Cuny ML, Zerah M, Sainte-Rose C, Puget S: Microsurgical, endoscopic, and shunt management of pediatric temporosylvian arachnoid cysts: a comparative study. J Neurosurg Pediatr 23: 749-757, 2019. [8] Gangemi M, Seneca V, Colella G, Cioffi V, Imperato A, Maiuri F: Endoscopy versus microsurgical cyst excision and shunting for treating intracranial arachnoid cysts. J Neurosurg Pediatr 8: 158-164, 2011. [12] Maher CO, Goumnerova L: The effectiveness of ventriculocystocisternostomy for suprasellar arachnoid cysts. J Neurosurg Pediatr 7: 64-72, 2011. [7] Gangemi M, Colella G, Magro F, Maiuri F: Suprasellar arachnoid cysts: endoscopy versus microsurgical cyst excision and shunting. Br J Neurosurg 21: 276-280, 2007. [9] Gosalakkal JA: Intracranial arachnoid cysts in children: a review of pathogenesis, clinical features, and management. Pediatric Neurology 26: 93-98, 2002. |
| References_xml | – reference: [6] Fewel ME, Levy ML, McComb JG: Surgical treatment of 95 children with 102 intracranial arachnoid cysts. Pediatr Neurosurg 25: 165-173, 1996. – reference: [10] Koc G, Altay C, Bozkurt T, Varer M, Oyar O: Multiple intracranial arachnoid cysts. JBR-BTR 95: 339, 2012. – reference: [4] Crimmins DW, Pierre-Kahn A, Sainte-Rose C, Zerah M: Treatment of suprasellar cysts and patient outcome. J Neurosurg 105: 107-114, 2006. – reference: [7] Gangemi M, Colella G, Magro F, Maiuri F: Suprasellar arachnoid cysts: endoscopy versus microsurgical cyst excision and shunting. Br J Neurosurg 21: 276-280, 2007. – reference: [1] Amelot A, Beccaria K, Blauwblomme T, Bourgeois M, Paternoster G, Cuny ML, Zerah M, Sainte-Rose C, Puget S: Microsurgical, endoscopic, and shunt management of pediatric temporosylvian arachnoid cysts: a comparative study. J Neurosurg Pediatr 23: 749-757, 2019. – reference: [9] Gosalakkal JA: Intracranial arachnoid cysts in children: a review of pathogenesis, clinical features, and management. Pediatric Neurology 26: 93-98, 2002. – reference: [13] Wang JC, Heier L, Souweidane MM: Advances in the endoscopic management of suprasellar arachnoid cysts in children. J Neurosurg 100: 418-426, 2004. – reference: [5] El-Ghandour NM: Endoscopic treatment of suprasellar arachnoid cysts in children. J Neurosurg Pediatr 8: 6-14, 2011. – reference: [12] Maher CO, Goumnerova L: The effectiveness of ventriculocystocisternostomy for suprasellar arachnoid cysts. J Neurosurg Pediatr 7: 64-72, 2011. – reference: [2] Chen D, Zhang J, Wu L, Li X, Ma S, Zhu X, Yan D: Neuroendoscopic treatment of multiple intracranial arachnoid cysts: a case report. Chin Neurosurg J 4: 19, 2018. – reference: [11] Laviv Y, Michowitz S: Acute intracranial hypertension and shunt dependency following treatment of intracranial arachnoid cyst in a child: a case report and review of the literature. Acta Neurochir (Wien) 152: 1419-1423; discussion 1422-1413, 2010. – reference: [3] Chen Y, Fang HJ, Li ZF, Yu SY, Li CZ, Wu ZB, Zhang YZ: Treatment of middle cranial fossa arachnoid cysts: a systematic review and meta-analysis. World Neurosurg 92: 480-490 e482, 2016. – reference: [8] Gangemi M, Seneca V, Colella G, Cioffi V, Imperato A, Maiuri F: Endoscopy versus microsurgical cyst excision and shunting for treating intracranial arachnoid cysts. J Neurosurg Pediatr 8: 158-164, 2011. |
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| Snippet | 鞍上部くも膜のう胞に対する治療法として内視鏡下でのVentriculo-cysto-cisternostomy（VCC）がある．発達遅滞の精査にて鞍上部および両側の中頭蓋窩くも膜のう胞を... 「要旨」 鞍上部くも膜のう胞に対する治療法として内視鏡下でのVentriculo-cysto-cisternostomy(VCC)がある. 発達遅滞の精査にて鞍上部および両側の中頭蓋窩くも膜のう胞を... |
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| Title | 両側の中頭蓋窩くも膜のう胞との交通を認めた鞍上部くも膜のう胞症の1例 |
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