[Clinical characteristics of 13 cases with entrapped temporal horn syndrome and efficacy of refined temporal-to-frontal horn shunt].

Thirteen consecutive patients with entrapped temporal horn syndrome in the Department of Neurosurgery of Beijing Tiantan Hospital from February 2018 to September 2022 were retrospectively analyzed, and there were 5 males and 8 females, with a mean age of (43±21) years. Increased intracranial pressure caused by hydrocephalus was the main clinical symptom. All the patients underwent refined temporal-to-frontal horn shunt, and all the symptoms were improved after surgery. Postoperative Karnofsky performance score (KPS) [90 (90, 100)] was higher than preoperative KPS [57 (40, 70)] (P=0.001). However, postoperative entrapped temporal horn volume [13.85 (8.90, 15.25) cm3] decreased, compared with preoperative volume [66.52 (38.65, 88.65) cm3] (P=0.001). Likewise, postoperative midline shift [0.77 (0, 1.50) mm] was longer than preoperative midline shift [6.69 (2.50, 10.00) mm] (P=0.002). No surgery-related complications were observed after the operation. Therefore, the refined temporal-to-frontal horn shunt is safe and effective treatment for entrapped temporal horn syndrome, with favorable outcomes.回顾性分析2018年2月至2022年9月首都医科大学附属北京天坛医院神经外科四病区收治的孤立颞角综合征13例患者，其中男5例，女8例，年龄（43±21）岁。本组病例主要以脑积水导致颅内压高为主要临床症状。所有患者均采用改良额颞角转流术，术后症状均得到改善，各指标数据以M（Q1，Q3）表示。术后Karnofsky功能状态（KPS评分）［90（90，100）分］明显高于术前评分［57（40，70）分，P=0.001］；术后孤立颞角体积［13.85（8.90，15.25）cm3］明显小于术前［66.52（38.65，88.65）cm3，P=0.001］；术后中线移位［0.77（0，1.50）mm］小于术前［6.69（2.50，10.00）mm，P=0.002］；且无手术相关并发症发生。改良额颞角转流术是治疗孤立颞角综合征一种安全、有效的手术方式。.