PDF(Pubmed)
Abstract：
UNASSIGNED: The Entrapped Temporal Horn (ETH) is characterized by localized enlargement of the temporal horn of the lateral ventricle of the brain. This study aimed to investigate the factors, development, prognosis, and effective treatment.
UNASSIGNED: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, a systematic search was conducted in major research databases. The inclusion criteria included patients of all ages with TTH diagnosis in cohort studies, case series, and case reports.
UNASSIGNED: Our study included 160 patients and 49 studies. The major causes of TTH were neoplastic lesions (42.3%), infections (22.3%), and cystic disease (13.08%). Of these cases, 71 were unrelated to cranial surgery, while 89 were unrelated to prior surgeries. Headache was the most common symptom (41.91%), followed by seizures (13.20%), drowsiness (12.50%) and memory loss (11.00%). Surgery was not required in 17 patients. Fenestration of the trapped temporal horn was performed in 24 patients, while VP/VA shunt surgeries were performed in the majority (57 patients) owing to favorable outcomes, lower revision rates, and extensive experience. However, TTH recurred in six of the 21 patients who underwent endoscopic ventriculocisternostomy. Tumors were the main cause, and isolated headache was the most frequent symptom. Ventriculoperitoneal shunts (VPS) are preferred because of their positive outcomes, lower revision rates, and wider expertise. Tumors near the trigonal area pose a higher risk.
UNASSIGNED: Although TTH remains a rare condition, VPS continues to be the most widely preferred procedure among surgeons.
UNASSIGNED: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines, a systematic search was conducted in major research databases. The inclusion criteria included patients of all ages with TTH diagnosis in cohort studies, case series, and case reports.
UNASSIGNED: Our study included 160 patients and 49 studies. The major causes of TTH were neoplastic lesions (42.3%), infections (22.3%), and cystic disease (13.08%). Of these cases, 71 were unrelated to cranial surgery, while 89 were unrelated to prior surgeries. Headache was the most common symptom (41.91%), followed by seizures (13.20%), drowsiness (12.50%) and memory loss (11.00%). Surgery was not required in 17 patients. Fenestration of the trapped temporal horn was performed in 24 patients, while VP/VA shunt surgeries were performed in the majority (57 patients) owing to favorable outcomes, lower revision rates, and extensive experience. However, TTH recurred in six of the 21 patients who underwent endoscopic ventriculocisternostomy. Tumors were the main cause, and isolated headache was the most frequent symptom. Ventriculoperitoneal shunts (VPS) are preferred because of their positive outcomes, lower revision rates, and wider expertise. Tumors near the trigonal area pose a higher risk.
UNASSIGNED: Although TTH remains a rare condition, VPS continues to be the most widely preferred procedure among surgeons.
摘要：
■被困颞角（ETH）的特征是大脑侧脑室的颞角局部增大。本研究旨在探讨影响因素，发展,预后,和有效的治疗。
■遵循系统审查和荟萃分析（PRISMA）指南的首选报告项目，在主要研究数据库中进行了系统搜索。纳入标准包括在队列研究中诊断为TTH的所有年龄段的患者，案例系列,和病例报告。
■我们的研究包括160例患者和49例研究。TTH的主要病因为肿瘤病变(42.3%),感染(22.3%)，和囊性疾病（13.08%）。在这些案件中,71与颅骨手术无关，而89与之前的手术无关。头痛是最常见的症状（41.91%），其次是缉获量(13.20%),嗜睡（12.50%）和记忆丧失（11.00%）。17例患者不需要手术。对24例患者进行了被困颞角的开窗术，而VP/VA分流手术在大多数（57例）由于良好的结果进行，较低的修订率，和丰富的经验。然而,TTH在接受内镜下脑室造口术的21例患者中有6例复发。肿瘤是主要原因,孤立性头痛是最常见的症状。室性腹膜分流术（VPS）是首选，因为它们的积极结果，较低的修订率，和更广泛的专业知识。三角区域附近的肿瘤构成较高的风险。
■尽管TTH仍然是一种罕见的情况，VPS仍然是外科医生中最广泛首选的手术。
■遵循系统审查和荟萃分析（PRISMA）指南的首选报告项目，在主要研究数据库中进行了系统搜索。纳入标准包括在队列研究中诊断为TTH的所有年龄段的患者，案例系列,和病例报告。
■我们的研究包括160例患者和49例研究。TTH的主要病因为肿瘤病变(42.3%),感染(22.3%)，和囊性疾病（13.08%）。在这些案件中,71与颅骨手术无关，而89与之前的手术无关。头痛是最常见的症状（41.91%），其次是缉获量(13.20%),嗜睡（12.50%）和记忆丧失（11.00%）。17例患者不需要手术。对24例患者进行了被困颞角的开窗术，而VP/VA分流手术在大多数（57例）由于良好的结果进行，较低的修订率，和丰富的经验。然而,TTH在接受内镜下脑室造口术的21例患者中有6例复发。肿瘤是主要原因,孤立性头痛是最常见的症状。室性腹膜分流术（VPS）是首选，因为它们的积极结果，较低的修订率，和更广泛的专业知识。三角区域附近的肿瘤构成较高的风险。
■尽管TTH仍然是一种罕见的情况，VPS仍然是外科医生中最广泛首选的手术。
