观点:手术后脊柱外周血瘤 (pSEH) 应该得到治疗,而不是被忽视
Nancy E Epstein1, Marc A Agulnick2
1Professor of Clinical Neurosurgery, School of Medicine, State University of NY at Stony Brook and Editor-in-Chief Surgical Neurology International NY, USA, and c/o Dr. Marc Agulnick, 1122 Franklin Avenue Suite 106, Garden City, NY, USA.
Surgical neurology international
|November 9, 2023
概括
术后脊柱外周血瘤 (pSEH) 需要及时识别和紧急治疗,以防止. 立即的MRI成像和手术减压对于管理pSEH和避免永久的神经缺陷至关重要.
科学领域:
- 神经外科 神经外科
- 脊柱外科手术 脊柱外科手术
- 神经学 神经学
背景情况:
- 手术后脊柱外周血瘤 (pSEH) 是脊柱手术的严重并发症,可能导致.
- 对于患有pSEH的患者来说,及时诊断和紧急治疗至关重要,以避免永久的神经缺陷.
研究的目的:
- 强调迫切需要立即识别和管理pSEH.
- 强调MRI成像和新出现的手术解压在预防方面的作用.
主要方法:
- 关于pSEH发病率,易感因素和发病时间的文献综述.
- 对pSEH的诊断和治疗策略的分析.
主要成果:
- 脊椎手术后的几个小时到几天内可能出现症状性pSEH,报告的频率从0.1%到4.46%不等.
- 诱导因素包括凝血障碍,多层或以前的脊柱手术,以及手术内脑脊液 (CSF) 泄漏.
- 宫和胸部pSEH往往比腰部pSEH更快地表现出症状.
结论:
- 在脊椎手术后早期发现神经缺陷,需要立即进行MR研究来诊断pSEH.
- 新出现的手术减压,有或没有融合,对于限制或避免永久的神经病变的后果至关重要.
- 所有怀疑pSEH的脊柱手术的患者都需要迅速进行术后MR成像和及时干预.
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