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首页> 外文期刊>Journal of neurosurgery. >Endoscopic removal of cysticercal cysts within the fourth ventricle. Technical note.
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Endoscopic removal of cysticercal cysts within the fourth ventricle. Technical note.

机译：内镜下去除第四脑室的囊性囊肿。技术说明。

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摘要

There is no consensus as to the optimum management of patients who harbor cysticercal cysts within the fourth ventricle. Compared with the alternative treatment options of anthelmintic medication and/or cerebrospinal fluid shunt placement, the surgical removal of the cyst has the advantage of eliminating the inflammatory nidus and potentially obviating the need for a complication-prone shunt. Here, an endoscopic surgical approach is described and proposed as an alternative to the standard suboccipital craniectomy for removal of cysticercal cysts within the fourth ventricle. A retrospective analysis of five consecutive endoscopic cases was performed. Endoscopic removal of all cysts within the fourth ventricle was successful in each case. The mean length of operative time was short and blood loss was insignificant. The endoscopic procedure was safe and associated with minimal postoperative discomfort in most patients. In properly selected patients, the endoscopic removal of cysticercal cysts located within the fourth ventricle should be considered as the primary treatment for this condition.
机译：对于在第四脑室中携带囊性囊肿的患者的最佳治疗尚无共识。与驱虫药和/或脑脊液分流器的替代治疗选择相比，手术切除囊肿的优点是消除了炎性病灶，并潜在地避免了易发并发症的分流器的需要。在这里，描述并提出了一种内窥镜手术方法，作为标准枕下颅骨切除术的替代方法，用于去除第四脑室中的囊性囊肿。回顾性分析了五个连续的内镜病例。在每种情况下，内镜下成功清除了第四脑室内的所有囊肿。平均手术时间短，失血量不大。内窥镜手术是安全的，并且在大多数患者中术后不适感极小。在适当选择的患者中，应考虑在内窥镜下去除位于第四脑室的囊性囊肿，作为该病的主要治疗方法。

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