r***w
发帖数: 71 | 1 国内亲人被检查出来脑积水（男，37岁），苦恼不知不知成因和治疗。症状是，走路等
这样平常人觉得比较小的震动，他都觉得震动很厉害，脑子很疼。今天去做了核磁共振
的成像，报告如下，请大家帮忙看看分析一下可能的成因，和可能的治疗（以及疗效、
有无后遗症等），多谢各位！
－－－－－
头颅MR平扫
检查序列：
横轴位：T1FLAIRI，FSE／T2WI，FLAIR／T2WI，EPI／DWI
矢状位：FLAIR／T1WI
图像所见：
双侧大脑半球对称、灰白质界限清晰；三脑室内见有大小约为 21 X 30 X 23 mm，囊状
病灶，T1WI、T2WI均为略高信号，DWI为低信号；双侧脑室明显扩张积水，双侧脑室周
围可见有条片状T2WI水抑制像高信号影；脑沟、脑裂无明显增宽，中线居中；垂体形态
信号大小如常；脑干、小脑形态如常、未见明显异常信号。左侧上颌窦见有小囊状水样
信号。
诊断提示：
1，三脑室内囊性占位性病变，致梗阻性脑积水，侧脑室周围间质性脑水肿。建议进一
步增强扫描。
2，左侧上颌窦粘膜下囊肿。 |
l*h
发帖数: 4124 | 2 this is consistent with and most likely a colloid cyst. it is best resected
through neuroendoscope.
【在 r***w 的大作中提到】
: 国内亲人被检查出来脑积水（男，37岁），苦恼不知不知成因和治疗。症状是，走路等
: 这样平常人觉得比较小的震动，他都觉得震动很厉害，脑子很疼。今天去做了核磁共振
: 的成像，报告如下，请大家帮忙看看分析一下可能的成因，和可能的治疗（以及疗效、
: 有无后遗症等），多谢各位！
: －－－－－
: 头颅MR平扫
: 检查序列：
: 横轴位：T1FLAIRI，FSE／T2WI，FLAIR／T2WI，EPI／DWI
: 矢状位：FLAIR／T1WI
: 图像所见：
|
r***w
发帖数: 71 | 3 谢谢你！那么这种colloid cyst，一般而言是良性还是恶性？该如何治疗呢？
resected
【在 l*h 的大作中提到】
: this is consistent with and most likely a colloid cyst. it is best resected
: through neuroendoscope.
|
l*h
发帖数: 4124 | 4 1. without seeing the actual MR images, there is a small chance it's another
disease other than colloid cyst, just a very small chance.
2. collie cyst itself is benign, but the skull is rigid and there is only
that much space inside, so even a biologically benign growth can cause big
problems. the good news is that once such benign growth is removed, the
chance of recurrence is very low.
3. the recommended treatment for colloid cyst is complete resection.
currently the recommended way to do this is using a neuroendoscope, instead
of conventional open surgery. this can be done in many major medical centers
in the US. some hospitals in China have also adopted neuroendoscope in
recent years.
【在 r***w 的大作中提到】
: 谢谢你！那么这种colloid cyst，一般而言是良性还是恶性？该如何治疗呢？
:
: resected
|
r***w
发帖数: 71 | 5 您花这么长时间来答复，真是非常非常感谢您！
neuroendoscope相对传统的开颅手术，是安全性更高吗？我查了一下，叫“神经内镜”，
这个翻译准确吗？如果可能，我想让他们去有 neuroendoscope 的医院去好好检查。您
是否知道国内有哪些医院可以用neuroendoscope来手术？亲人是辽宁的，不知道东北有
没有这类医院。当然，如果需要，我会建议他们去北京的医院。如果万一找不到有
neuroendoscope的医院，那么传统的开颅手术风险大吗？
再次感谢您花时间认真答复！
another
instead
centers
【在 l*h 的大作中提到】
: 1. without seeing the actual MR images, there is a small chance it's another
: disease other than colloid cyst, just a very small chance.
: 2. collie cyst itself is benign, but the skull is rigid and there is only
: that much space inside, so even a biologically benign growth can cause big
: problems. the good news is that once such benign growth is removed, the
: chance of recurrence is very low.
: 3. the recommended treatment for colloid cyst is complete resection.
: currently the recommended way to do this is using a neuroendoscope, instead
: of conventional open surgery. this can be done in many major medical centers
: in the US. some hospitals in China have also adopted neuroendoscope in
|
