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The Giant Grape-Like enterogenous Cyst Extending from the Upper Cervical Canal to the Ambient Cistern: Case Report and Literature Review

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Open Journal of Modern Neurosurgery 2013年第3期3卷 48-51页

作者： Han Chen Paul E. Kaloostian Franklin Westhout Shah-Naz Khan Department of Neurosurgery The Johns Hopkins University Baltimore USA Department of Neurosurgery University of New Mexico Albuquerque USA

Objective and Importance: The authors report the first known case of a giant multiloculated grape-like enterogenous cyst extending from the upper cervical canal to the ambient cistern. Clinical Presentation/Methods: We report the case of a 40-year-old male who had a prior transmastoid craniotomy at an outside facility 14 months prior with an indeterminate diagnosis, who presented to the University of New Mexico with recurrent headaches and nausea. Scans demonstrated a giant multiloculated cystic lesion in the right cerebellopontine angle that extended superiorly and inferiorly with brainstem compression and hydrocephalus. Intervention/Results: We took the patient to the operating room for a retrosigmoid suboccipital craniectomy for tumor resection. Post-operatively, the patient improved but required ventriculoperitoneal shunting for continued communicating hydrocephalus. Conclusion: This is the first known case of a giant multiloculated grape-like enterogenous cyst extending simultaneously from the upper cervical canal to the ambient cistern. enterogenous cysts should be considered on the differential diagnosis of giant grape-like lesions extending from the cervical canal to the prepontine cistern.

关键词： enterogenous Giant Cervical Pre-Pontine Grape

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Giant Supratentorial Acutely Hemorrhagic enterogenous Cyst: Case Report and Literature Review

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Open Journal of Modern Neurosurgery 2014年第1期4卷 23-25页

作者： Paul E. Kaloostian Han Chen Franklin Westhout Howard Yonas University of New Mexico Neurosurgery Albuquerque New Mexico USA

The authors report the first case of a giant supratentorial enterogenous cyst presenting with acute symptomatic hemorrhage within the cyst. We report the case of a 78-year-old Philipino female who was found to have a large right fronto-parietal mass after a minor fall. She had a small amount of hemorrhage within the cyst but was stable for discharge the following day. She was readmitted 5 days later with acute onset severe headache and leftside weakness. On repeat imaging, her cyst had grown in size and had large acute hemorrhage within it. She was taken to the operating room for craniotomy and cyst resection. She recovered well post-operatively. This is the first known case of a giant supratentorial enterogenous cyst presenting with symptomatic enlargement due to large hemorrhage within the cyst. enterogenous cysts should be considered on the differential diagnosis of hemorrhagic supratentorial giant cysts.

关键词： Hemorrhagic enterogenous Cyst Giant Supratentorial

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Role of Lipid Peroxidation in Bacterial Translocation from the Small Intestine after Thermal Injury in Rats

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Journal of Medical Colleges of PLA(China) 1990年第3期5卷 271-277页

作者：彭毅志肖光夏王德旺张雅萍秦孝建 Institute of Burn Medicine Southwest HospitalThird Military Medical UniversityChongqing 630038China

Oxygen-derived free radicals have bran proved to play a role in the intestinalmucosa damage induced by ischemic reperfusion after burns,but their role in thebacterial translocation from the intestine to other organs is not documented so *** intended to investigate this problem on 186rats,which were randomized into 5groups:the normal control group,the group receiving oral Pseudomonas,the group ofsimple burn injury,and the groups of combined oral Pseudomonas and burn injury withor without superoxide dismutase(SOD)*** burn injury was 30% TBSA fullthickness *** oral administered Pseudomonas was labdled with isothiocyanatefor *** animals were killed in the 4th,12th,24th,48th,or 72nd hour afterinjury *** changes of malondialdehyde(MDA)in the ilcal mucosa were ob-served with optical and electron microscope,and bacterial translocation from the intes-tine to the liver and blood stream was traced .The animals with combined injury and simple burns showed a marked increase ofileal mucosal MDA with the peak in the 12th hour accompanied with intense pathologicalchanges in the small intestine;the incidence of bacterial translocation from the intestineto other organs also *** SOD treatment,the MDA levd in the ileal mucosawas significantly lower,the pathological changes in the intestinal mucosa were allevia-ted,and the incidence of bacterial translocation from the intestine was lowered with nolabdled Pseudomonas isolated from the blood *** this study,it was demonstrated that free radicals are one of the factors ofintestinal mucosal damage and bacterial translocation from the intestine after burns,andSOD could protect the intestinal mucosal barrier from being injured and inhibit thebacterial translocation from the intestine.

关键词： burns enterogenous infection lipid peroxidation matondialdehyde superoxide dismutase

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