[1]郭翔,王秋红,许峰峰,等.侧脑室三角区肿瘤术后并发孤立颞角综合征的诊治分析[J].中国临床神经外科杂志,2024,29(05):261-263.[doi:10.13798/j.issn.1009-153X.2024.05.002]
 GUO Xiang,WANG Qiu-hong,XU Feng-feng,et al.Clinical features and treatment of trapped temporal horn in patients with lateral ventricular trigone tumor after surgery[J].,2024,29(05):261-263.[doi:10.13798/j.issn.1009-153X.2024.05.002]
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侧脑室三角区肿瘤术后并发孤立颞角综合征的诊治分析()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
29
期数:
2024年05期
页码:
261-263
栏目:
论著
出版日期:
2024-05-30

文章信息/Info

Title:
Clinical features and treatment of trapped temporal horn in patients with lateral ventricular trigone tumor after surgery
文章编号:
1009-153X(2024)05-0261-03
作者:
郭翔王秋红许峰峰杨冰
200052上海,中国人民解放军海军特色医学中心神经外科(郭翔、王秋红、许峰峰、杨冰)
Author(s):
GUO Xiang WANG Qiu-hong XU Feng-feng YANG Bing
Department of Neurosurgery, Navy Special Medical Center, Shanghai 200052, China
关键词:
侧脑室三角区肿瘤显微手术孤立性颞角综合征临床特征治疗
Keywords:
Lateral ventricular trigone tumor Microsurgery Trapped temporal horn Clinical features
分类号:
R 739.41; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2024.05.002
文献标志码:
A
摘要:
目的 探讨侧脑室三角区肿瘤切除术后并发孤立颞角综合征(TTH)的临床特征及治疗。方法 回顾性分析2015年3月至2022年3月显微手术治疗的48例侧脑室三角区肿瘤的临床资料。结果 术后12例(25.0%)发生TTH;7例肿瘤最大直径≥4.0 cm。8例(66.7%)术中使用止血材料;11例(91.7%)术后出现脑室周围水肿;中线偏移9例(75.0%);3例术后放置脑室外引流管。发病时间7 d~10.5个月,中位数3.5个月;9例(75.0%)为迟发性TTH。5例保守治疗;7例手术治疗(4例脑室-腹腔分流术,1例脑室外引流术,1例开颅去骨瓣减压术,1例神经内镜脑室造瘘失败后行脑室-腹腔分流术);术后颅内压增高症状均缓解。出院后随访1.2~5.5年,中位数2.7年;所有病人症状均改善,未见复发。结论 大多数侧脑室三角区肿瘤术后TTH表现为迟发性。症状轻微的TTH,先考虑CT或MRI密切随访。如果出现颅内压增高症状,建议手术治疗。
Abstract:
Objective To investigate the clinical features and treatment of trapped temporal horn (TTH) after resection of tumors in the lateral ventricular trigone. Methods The clinical data of 48 patients with tumors in the lateral ventricular trigone treated by microsurgery from March 2015 to March 2022 were retrospectively analyzed. Results TTH occurred in 12 patients (25.0%), of whom, 7 patients had tumors with a maximum diameter of ≥4.0 cm, 8 patients (66.7%) used hemostatic materials during surgery, 11 patients (91.7%) had cerebral aqueduct syndrome after surgery, 9 patients (75.0%) had midline shift, 3 patients had external ventricular drainage after surgery. The onset time ranged from 7 days to 10.5 months, with a median of 3.5 months; 9 patients (75.0%) had delayed TTH. Five patients were treated conservatively; 7 patients underwent surgery (4 ventriculoperitoneal shunt, 1 external ventricular drainage, 1 craniotomy and craniectomy, 1 ventriculoperitoneal shunt after endoscopic third ventriculostomy failure), and the symptoms of increased intracranial pressure were relieved after surgery. The patients were followed up for 1.2~5.5 years after discharge, with a median of 2.7 years; all patients showed improvement in symptoms and no recurrence was observed. Conclusions Most TTH are delayed after resection of tumors in the lateral ventricular trigone. Mild TTH should be followed up with CT or MRI. If symptoms of increased intracranial pressure occur, surgery is recommended.

参考文献/References:

[1]ASHIR SHAFIQUE M, SAQLAIN MUSTAFA M, HASEEB A, et al. Trapped temporal horn: from theory to practice, a systematic review of current understanding and future perspectives [J]. World Neurosurg, 2024, 23: 100345.
[2]GIUGLIANO M, SCAFA AK, CHIARELLA V, et al. Entrapment of the temporal horn: case series and systematic review of literature [J]. J Neurosurg Sci, 2021, 65(5): 532-540.
[3]LIU S, LIU X, WANG M, et al. Risk factors for and outcomes of postoperative entrapped temporal horn in trigone meningiomas [J]. Neurol India, 2022, 70(3): 965-971.
[4]LIN Z, WANG C, GAO Z, et al. Clinical characteristics of and treatment protocol for trapped temporal horn following resection of lateral ventricular trigone meningioma: a single-center experience [J]. J Neurosurg, 2019, 132(2): 481-490.
[5]LIN Z, ZHANG X, SHEN S, et al. Postoperative delayed trapped temporal horn in patients with lateral ventricular trigone meningioma: risk factors, surgical management, and literature review [J]. Eur J Surg Oncol, 2020, 46(12): 2324-2330.
[6]ZHUANG Y, RICHARD S A, ZHOU J, et al. Entrapped temporal horn syndrome: a retrospective analysis of 5 case series [J]. IJS Global Health, 2022, 5(3): e73.
[7]REN X, CUI Y, YANG C, et al. Refined temporal-to-frontal horn shunt for treatment of trapped temporal horn after surgery of perior intraventricular tumor: a case series study [J]. Front Oncol, 2021, 11: 781396-781402.
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备注/Memo

备注/Memo:
(2024-02-19收稿,2024-04-20修回)
基金项目:国家自然科学基金(82001990)
通信作者:王秋红,Email:105206302@qq.com
更新日期/Last Update: 2024-05-30