在水道狭窄病例中自发的第三心室静脉切除术:回顾一系列病例
Omar Abdel Aleem Ragab1, Hussein Fathalla2, Walid El Halaby2
1Department of Neurosurgery, Faculty of Medicine, Beni Seuf University, Beni Seuf, Egypt.
World neurosurgery
|May 28, 2023
概括
自发的第三室内静脉切除术 (STV) 是阻塞性水脑病的一种罕见并发症. 这项研究回顾了STV病例,突出了其发生率和在诊断停止头症时的重要性.
科学领域:
- 神经外科 神经外科
- 放射学 放射学是一门学科.
- 儿科神经学 儿科神经学
背景情况:
- 自发的第三室内静脉切除术 (STV) 是阻塞性水脑的一个不常见的事件.
- STV涉及第三腹腔壁的破裂,在腹腔系统和脑下垂体空间之间建立通信.
- 这种破裂可以导致活跃的水脑的停止.
研究的目的:
- 审查一系列自发的第三腹腔切除术 (STV) 病例.
- 分析STV在阻塞性水頭的背景下之前的報告.
- 评估STV在停止头症中的作用.
主要方法:
- 具有停止阻塞性头症的成像证据的患者的回顾性审查 (2015-2022年).
- 纳入标准:水道狭窄和可检测的大脑脊髓液 (CSF) 通过第三室内静脉切除术流动.
- 在PubMed的文献搜索中查找自发腹腔切除术报告 (2010-2022年).
主要成果:
- 分析了14例病例 (7例成人,7例儿科),所有病例均有水头发病史.
- STV最常发生在第三心室的地板 (57.1%) 和端膜 (35.7%).
- 十一篇出版物确定了38个额外的STV病例,随访时间从10个月到77个月.
结论:
- 神经外科医生应该考虑在慢性阻塞性水头症中STV的可能性,特别是当水头症停止时.
- 电影相位对比磁共振成像 (PC-MRI) 可以检测到STV.
- 在手术决策中,STV的存在应该是CSF转移的因素,除了临床表现和水道流量之外.
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