DOI:10.3969/j.issn.1672 ̄7770.2023.04.021病例报告后颅窝天幕夹层之间巨大表皮样囊肿1例报告并文献复习卢熊伟ꎬ龙江ꎬ王永刚ꎬ彭炫ꎬ冯鹏程ꎬ陈时宇ꎬ王思涛【摘要】目的探讨后颅窝天幕夹层之间表皮样囊肿的诊断和治疗策略ꎮ方法回顾性分析1例后颅窝天幕夹层之间巨大表皮样囊肿的临床资料ꎬ采用左侧跨幕上下Poppen入路ꎬ显微镜下切除ꎮ结果术后病理证实为后颅窝表皮样囊肿并肉芽肿性炎ꎮ患者术后恢复好ꎬ入院前的相关症状消失ꎮ结论后颅窝天幕夹层之间巨大表皮样囊肿极罕见ꎬ该例临床及影像学表现不典型ꎬ术前诊断困难ꎬ主要治疗方法仍以手术切除为主ꎮ【关键词】巨大表皮样囊肿ꎻ后颅窝ꎻ天幕ꎻ影像学诊断ꎻ显微外科手术【中图分类号】R739.41【文献标志码】B【文章编号】1672 ̄7770(2023)04 ̄0460 ̄03Giantepidermoidcystintentoriumcerebellumofposteriorcranialfossa(acasereportandliteraturereview)LUXiongweiꎬLONGJiangꎬWANGYonggangꎬetal.TheFirstDepartmentofNeurosurgeryꎬtheFirstAffiliatedHospitalofKunmingMedicalUniversityꎬKunming650021ꎬChinaCorrespondingauthor:LONGJiangAbstract:ObjectiveToinvestigatethediagnosisandtreatmentofgiantepidermoidcystinthetentoriumcerebellumofposteriorcranialfossa.MethodsTheclinicaldataof1patientwithgiantepidermoidcystinthetentoriumcerebellumofposteriorcranialfossawasanalyzedretrospectively.TheleftupperandlowertransenturalPoppenapproachwasusedtoremovethecystundermicroscope.ResultsPostoperativepathologyconfir...