颅内蛛网膜囊肿并发癫痫的研究进展

Research advances in intracranial arachnoid cyst complicated by epilepsy

摘要:

颅内蛛网膜囊肿是一种蛛网膜间先天或后天脑脊液聚集的颅内占位性病变，多数不伴发其他症状，少数可伴发头痛、认知障碍及癫痫等。癫痫为常见的脑部疾病之一，癫痫反复发作可造成较大的疾病负担。目前，颅内蛛网膜囊肿与癫痫的关联尚不明确，其最佳治疗方式也存在争议，该文就颅内蛛网膜囊肿并发癫痫的流行病学、临床特点、发病机制以及治疗进行综述，旨在加深对颅内蛛网膜囊肿并发癫痫的认识。

Abstract:

Intracranial arachnoid cyst （IAC） is a type of intracranial space-occupying lesion resulting from the congenital or acquired accumulation of cerebrospinal fluid in the arachnoid membrane. Most patients do not have other symptoms， while some patients may present with the symptoms such as headache， cognitive impairment， and epilepsy. Epilepsy is a common neurological disorder that can cause significant disease burden due to recurrent seizures. Currently， the association between IAC and epilepsy remains unclear， and there are still controversies over the optimal treatment methods. This article reviews the epidemiology， clinical features， pathogenesis， and treatment of IAC complicated by epilepsy， in order to reinforce the understanding of this condition.