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颅内表皮样囊肿生长缓慢、起病隐匿,临床主要表现为局部压迫、刺激症状。除弥散加权成像(DWI)外,平衡式快速梯度回波(B-FFE)、3D-稳态构成干扰序列(3D-CISS)在本病诊断、手术评价、术后监测方面具有重要意义。治疗以手术切除为主,内镜辅助显微手术有助于全切除病变和保护神经功能。术后出血为常见并发症,其恶性变也应引起重视。
Intracranial epidermoid cyst slow growth, occult onset, the main clinical manifestations of local oppression, irritation. In addition to DWI, B-FFE and 3D-CISS are of great importance in the diagnosis, surgical evaluation and postoperative monitoring of this disease. Surgical resection-based, endoscopic assisted microsurgery helps to remove the lesions and protect neurological function. Postoperative bleeding as a common complication, the malignant change should also be taken seriously.