Neurological Surgery 脳神経外科47巻10号

2019年10月発行

教訓的症例に学ぶシリーズ

神経内視鏡手術を行った症候性松果体嚢胞の1例

著者： 齋藤紀彦¹ 平井希¹ 青木和哉¹ 高萩周作² 八木橋彰憲² 佐藤詳¹ 鈴木遼¹ 平元侑¹ 林盛人¹ 櫻井貴敏¹ 岩渕聡¹

所属機関： ¹東邦大学医療センター大橋病院脳神経外科 ²石井脳神経外科・眼科病院脳神経外科

ページ範囲：P.1101 - P.1105

Ⅰ．経験症例
　〈患　者〉　39歳　女性
　主　訴　頭痛

参考文献

1) Bellotti A, Rapanà A, Iaccarino C, Schonauer M：Intracranial pressure monitoring after endoscopic third ventriculostomy：an effective method to manage the ‘adaptation period’. Clin Neurol Neurosurg 103：223-227, 2001

2) Cartmill M, Vloeberghs M：The fate of the cerebrospinal fluid after neuroendoscopic third ventriculostomy. Childs Nerv Syst 16：879-881, 2000

3) Di Costanzo A, Tedeschi G, Di Salle F, Golia F, Morrone R, Bonavita V：Pineal cysts：an incidental MRI finding? J Neurol Neurosurg Psychiatry 56：207-208, 1993

4) El-Ghandour NM：Endoscopic third ventriculostomy versus ventriculoperitoneal shunt in the treatment of obstructive hydrocephalus due to posterior fossa tumors in children. Childs Nerv Syst 27：117-126, 2011

5) Fritsch MJ, Doerner L, Kienke S, Mehdorn HM：Hydrocephalus in children with posterior fossa tumors：role of endoscopic third ventriculostomy. J Neurosurg 103（1 Suppl）：40-42, 2005

6) Gore PA, Gonzalez LF, Rekate HL, Nakaji P：Endoscopic supracerebellar infratentorial approach for pineal cyst resection：technical case report. Neurosurgery 62：108-109；discussion 109, 2008

7) Hasegawa A, Ohtsubo K, Mori W：Pineal gland in old age：quantitative and qualitative morphological study of 168 human autopsy cases. Brain Res 409：343-349, 1987

8) Hellwig D, Bauer BL, List-Hellwig E：Stereotactic endoscopic interventions in cystic brain lesions. Acta Neurochir Suppl 64：59-63, 1995

9) 平田陽子，井上　亨，安部　洋，竹本光一郎，卯田　健，岡　一成：閉塞性水頭症をきたした松果体嚢胞の1例—神経内視鏡による嚢胞開放術の有用性—．脳外誌18：609-613, 2009

10) Hopf NJ, Grunert P, Fries G, Resch KD, Perneczky A：Endoscopic third ventriculostomy：outcome analysis of 100 consecutive procedures. Neurosurgery 44：795-804, 1999

11) 池上靖子，田中俊一，玉置正史：視力低下と視野障害で発見された閉塞性水頭症を伴う松果体嚢胞の1例．臨床眼科69：347-353, 2015

12) Lum GB, Williams JP, Machen BC, Akkaraju V：Benign cystic pineal lesions by magnetic resonance imaging. J Comput Tomogr 11：228-235, 1987

13) Michielsen G, Benoit Y, Baert E, Meire F, Caemaert J：Symptomatic pineal cysts：clinical manifestations and management. Acta Neurochir（Wien）144：233-242, 2002

14) Nishiyama K, Mori H, Tanaka R：Changes in cerebrospinal fluid hydrodynamics following endoscopic third ventriculostomy for shunt-dependent noncommunicating hydrocephalus. J Neurosurg 98：1027-1031, 2003

15) 野村貞宏，梶原浩司，吉川功一，盛岡　潤，藤井正美，加藤祥一，藤澤博亮，鈴木倫保：脳腫瘍に合併した水頭症に対する第三脳室底開窓術の役割と術後水頭症悪化・再発の病態．小児の脳神経31：353-358, 2006

16) Osborn RE, Deen HG, Kerber CW, Glass RF：A case of hemorrhagic pineal cyst：MR/CT correlation. Neuroradiology 31：187-189, 1989

17) Rapanà A, Bellotti A, Iaccarino C, Pascale M, Schönauer M：Intracranial pressure patterns after endoscopic third ventriculostomy. Preliminary experience. Acta Neurochir（Wien）146：1309-1315；discussion 1315, 2004

18) 新　靖史，松山　武，内山佳知，朴　永銖，川口正一郎，中瀬裕之：第三脳室底開窓術の有用性と限界—adaptation periodの術後管理を含めて—．脳外誌20：725-733, 2011

19) Tapp E, Huxley M：The histological appearance of the human pineal gland from puberty to old age. J Pathol 108：137-144, 1972

20) Turtz AR, Hughes WB, Goldman HW：Endoscopic treatment of a symptomatic pineal cyst：technical case report. Neurosurgery 37：1013-1014, 1995

21) Wisoff JH, Epstein F：Surgical management of symptomatic pineal cysts. J Neurosurg 77：896-900, 1992