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首页> 外文期刊>Neurosurgery >Successful management of sellar and suprasellar arachnoid cysts with stereotactic intracavitary irradiation: an expanded report of four cases.
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Successful management of sellar and suprasellar arachnoid cysts with stereotactic intracavitary irradiation: an expanded report of four cases.

机译：立体定向腔内照射成功治疗蝶鞍和鞍上蛛网膜囊肿：四例病例扩大报道。

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OBJECTIVE: Sellar and suprasellar arachnoid cysts may be asymptomatic or may cause headache, optic nerve compression, endocrine dysfunction, or hydrocephalus. We propose a minimally invasive treatment strategy when intervention is indicated. METHODS: Four patients with sellar and suprasellar arachnoid cysts presented with headache, visual compromise, and endocrine dysfunction. Two of the four patients previously had undergone unsuccessful surgical intervention. The imaging studies of two patients were diagnostic of an arachnoid cyst. RESULTS: All four patients underwent stereotactic intracavitary radiation with cyst regression and symptomatic improvement. In each patient, the optic chiasm was decompressed successfully. There were no complications from the procedure. CONCLUSION: Stereotactic intracavitary irradiation of arachnoid cysts proved to be safe and effective. The procedure obviated the need for open cyst fenestration or shunting.
机译：目的：鞍骨和鞍上蛛网膜囊肿可能无症状或可能引起头痛，视神经受压，内分泌功能障碍或脑积水。当建议进行干预时，我们提出了一种微创治疗策略。方法：4例蝶鞍和鞍上蛛网膜囊肿患者出现头痛，视力减退和内分泌功能障碍。先前有四名患者中有两名接受了手术干预。两名患者的影像学检查诊断为蛛网膜囊肿。结果：四例患者均接受了立体定向腔内放射治疗，囊肿消退并改善了症状。在每位患者中，视神经chi均成功减压。该手术没有并发症。结论：立体定向腔内蛛网膜囊肿照射是安全有效的。该程序消除了开囊性开窗或分流的需要。

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