neurosurgeryНейрохирургияRussian journal of neurosurgery1683-32952587-7569Издательский дом "МедИНК"10.17650/1683-3295-2020-22-3-60-65neurosurgery-915Research ArticleНАБЛЮДЕНИЕ ИЗ ПРАКТИКИFROM PRACTICEВнутрикостная арахноидальная киста черепа (клиническое наблюдение)Intraosseous arachnoid cyst of the skull. Clinical casehttps://orcid.org/0000-0002-1755-1752НикитинА. С.NikitinA. S.

Андрей Сергеевич Никитин

127473 Москва, ул. Делегатская, 20, стр. 1

 

Bld. 1, 20 Delegatskaya St., Moscow 127473

zateya@bk.ruhttps://orcid.org/0000-0001-7001-1344НанаевР. М.NanaevR. M.

127473 Москва, ул. Делегатская, 20, стр. 1

Bld. 1, 20 Delegatskaya St., Moscow 127473

ФГБОУ ВО «Московский государственный медико-стоматологический университет им. А.И. Евдокимова» Минздрава РоссииРоссияA.I. Evdokimov Moscow State University of Medicine and Dentistry, Ministry of Health of RussiaRussian Federation2020270920202236065Copyright © Никитин А.С., Нанаев Р.М., 20202020Никитин А.С., Нанаев Р.М.Nikitin A.S., Nanaev R.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.therjn.com/jour/article/view/915

Цель исследования – описать клинический случай арахноидальной кисты затылочной кости.

Клиническое наблюдение

Клиническое наблюдение. В клинику Московского государственного медико-стоматологического университета им. А.И. Евдокимова поступила пациентка с арахноидальной кистой затылочной кости. В течение нескольких лет пациентка страдала от сильной боли в затылке; консервативное лечение было неэффективным. При обследовании в затылочной области выявлен необычный внутрикостный дефект. Выполнена резекция затылочной кости в пределах здоровой ткани с одномоментным замещением дефекта титановой пластиной. В ходе операции диагностирована внутрикостная арахноидальная киста; этот диагноз в дальнейшем был подтвержден при гистологическом исследовании. После операции боль в затылочной области прекратилась.

Заключение

Заключение. Внутрикостная арахноидальная киста черепа считается крайне редкой находкой и может быть причиной сильной локальной головной боли. Хирургическое вмешательство является эффективным методом лечения данной патологии.

The objective is to describe the clinical case of arachnoid cyst of occipital bone.

Case report

Case report. Patient with arachnoid cyst of occipital bone was treated in the clinic of the A.I. Evdokimov Moscow State University of Medicine and Dentistry. The patient had severe pain in the occipital region for several years, conservative treatment was ineffective. Neuroimaging revealed an unusual intraosseous defect in the occipital bone. A partial resection of the occipital bone was performed and cranioplasty was made. During operation it was discovered that the patient had an intraosseous arachnoid cyst, the diagnosis was further confirmed by histological examination. After surgery, regression of pain in the occipital region was noted.

Conclusion

Conclusion. The intraosseous arachnoid cyst of the skull is an extremely rare and can cause a severe local headache. Surgery is an effective treatment of this pathology.

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The authors declare that there are no conflicts of interest present.