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我院收治一例经手术切除病理检查证实的第四脑室神经上皮性囊肿患儿,报告如下:女性,10岁。因头昏、头痛、呕吐反复发作逐渐加重四月余,于1985年12月入院。患儿消瘦,表情淡漠。双侧视乳头水肿,肌张力减低,键反射迟饨,无眼球水平震颤及共济失调,后组颅神经及肌力正常,病理反射未引出。CT检查发现脑室对称性扩大,第四脑室区有圆形密度减低区。手术发现第四脑室内有一圆形囊性肿物,直径约2.5cm,囊壁光滑呈紫红色,手术完整切除,恢复良好。病理检查:囊肿肉眼观,呈扁圆形,大小为1.4×2.0×0.9cm,表面光滑,半透明状,切面囊肿为单房,囊壁菲薄,囊腔内充满淡黄色的液体。囊内壁有一处向腔内呈结节状突起,约0.2cm,灰白色。镜下观,囊壁内衬单层柱状及立
Our hospital admitted to a case of surgical removal of pathologically confirmed fourth ventricle neuroepithelial cyst in children, the report is as follows: Female, 10 years old. Due to dizziness, headache, vomiting recurrent episodes gradually increased in April, admitted in December 1985. Children wasting, indifferent expression. Bilateral papillae edema, hypotonia, key reflex delay, without eye tremor and ataxia, the latter group of normal cranial nerves and muscle, pathological reflex did not lead. CT examination revealed enlarged ventricles, the fourth ventricle area with circular densification area. Surgical findings in the fourth ventricle with a circular cystic tumor, a diameter of about 2.5cm, the wall was smooth purple, complete removal of surgery, a good recovery. Pathological examination: Cyst naked eye, was oblate, the size of 1.4 × 2.0 × 0.9cm, smooth surface, translucent, cut the cyst as a single room, thin wall, the capsule filled with light yellow liquid. There is a capsule wall to the cavity was nodular protrusions, about 0.2cm, gray. Microscopic view, wall lined with single columnar and vertical