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我院于1997～1999年对5例枕大池蛛网膜囊肿患者采取囊肿切除加腹腔分流术,取得了良好的效果,现报告如下。1 临床资料1.1 一般资料 本组5例,男3例,女2例;年龄7～45岁;病程1～13年。1.2 临床表现 经常头痛、头晕、恶心、呕吐、走路不稳,偶尔突然摔倒。头颅CT检查发现枕大池蛛网膜囊肿,体积18～30ml,多位于小脑一侧,小脑半球明显受压。神经系统检查均有共济运动障碍。1.3 手术方法5例病人均经后颅窝开颅,在偏于囊肿侧,咬开枕骨3cm ×3cm骨窗,十字切开硬脑膜,即
In our hospital from 1997 to 1999, 5 cases of occipital arachnoid cysts in patients with cystectomy and abdominal shunt, and achieved good results, the report is as follows. 1 Clinical data 1.1 General information The group of 5 patients, 3 males and 2 females; aged 7 to 45 years; duration of 1 to 13 years. 1.2 Clinical manifestations Frequent headaches, dizziness, nausea, vomiting, unsteady walking, and occasional sudden falls. Cranial CT examination revealed a large occipital arachnoid cyst with a volume of 18-30 ml, mostly located on the side of the cerebellum, and the cerebellar hemisphere was significantly compressed. Nervous system tests all have amass movement disorders. 1.3 Surgical methods All 5 patients were subjected to craniotomy in the posterior fossa. On the side of the cysts, the occipital bone was opened 3 cm × 3 cm, and the dura was cut to open the dura.