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颅内囊肿破裂引起脑室内游离脂肪已有许多报道,作者报告一例骶部皮样囊肿破裂后游离脂肪进行脑室和脑蛛网膜下腔。 患者男性,75岁。50年前行藏毛囊肿切除,5年前因下腰痛行L_5~S_1椎板切除术。1周前从马上摔下伤及骶部后出现腹股沟区剧痛,小便不能自解。几天后出现进行性双额疼痛,发热,感觉模糊,精神错乱及颈项强直。入院时头颅CT扫描示侧脑室,桥脑前池及鞍上池多发低衰减病灶,最初被认为是气颅,
Intracranial intracerebral free fat has been reported in many cases because of ruptured intracapsular cysts. The authors report the presence of free fat in the ventricles and subarachnoid space following the rupture of sacral dermoid cysts. Male patient, 75 years old. Histoplasma removal 50 years ago, 5 years ago due to low back pain line L_5 ~ S_1 laminectomy. 1 week ago fell immediately after injury and sacral groin area pain, urine can not self-solve. A few days later, progressive binocular pain, fever, hazy feeling, confusion and neck stiffness were observed. CT scan of the head showed admission on the side of the lateral ventricle, anterior pyloric plexus and saddle pool multiple low-attenuation lesions, initially considered to be the gas cranium,