三角头症和西尔维亚甲状腺囊的共存:一个巧合吗?
Federico Bianchi1, Ludovico Agostini2, Paolo Frassanito1
1Pediatric Neurosurgery, Fondazione Policlinico Agostino Gemelli IRCCS, Milan, Italy.
Pediatric neurosurgery
|March 26, 2024
概括
儿童神经外科手术患者的三角头经常与西尔维亚裂纹状囊 (ACs) 相关. 定期的放射性随访对于监测AC演变和管理潜在并发症至关重要.
科学领域:
- 儿科神经外科 儿科神经外科
- 神经辐射学神经辐射学
- 发育神经科学的发展神经科学.
背景情况:
- 三角头症和西尔维亚裂间囊 (ACs) 之间的关联很少被记录.
- 这种关联的实际发病率和临床意义尚不清楚.
研究的目的:
- 为了确定Sylvian裂ACs的发病率,在手术治疗三角头症的患者中.
- 评估这种关联的临床相关性和管理.
主要方法:
- 临床图表和CT扫描的回顾性审查.
- 在2014年1月至2023年6月期间治疗的136名三角头症患者的分析.
- 使用Galassi分级系统对AC的分类.
主要成果:
- 席尔维亚裂ACs在39.7%的三角头症患者中存在 (54/136).
- 在23个案例中,AC是双边的,在31个案例中是单边的 (左侧).
- 大多数AC是Galassi等级I (96.3%);一个案例显示AC扩大需要干预.
结论:
- AC和三角头症之间的关联比以前报告的更为常见.
- 虽然往往无症状,但放射性随访对于监测AC演变至关重要.
- 了解这种关联有助于儿童神经外科医生在患者管理中.
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