作为分流功能障碍的表现的发作:三级儿科神经外科手术经验
Aimee Goel1, Vesta S Najmi1, Katie Herbert1
1Department of Neurosurgery, Birmingham Children's Hospital, Steelhouse Lane, Birmingham, B4 6NH, UK.
概括
发作是儿科患者中脑脊液 (CSF) 旁路功能障碍的一个罕见指标. 在一项长达14年的研究中,只有2.9%的出现发作的分流儿童确认了分流功能障碍.
科学领域:
- 儿科神经学 儿科神经学
- 神经外科 神经外科
- 医疗器械故障 医疗器械故障
背景情况:
- 脑脊液 (CSF) 突变的患者经常出现发作,导致对突变功能故障的调查.
- 有限的证据表明,发作与变送器故障之间存在直接关联.
- 这项研究探讨了发作的诊断实用性,用于识别儿科患者的分流问题.
研究的目的:
- 为了确定患有发作的儿科患者的分流系统故障的发生率.
- 为了评估发作的有效性,作为一个标志着分流器故障的标志.
- 分析与分流器故障相关的发作的特征.
主要方法:
- 从2009年到2023年间,对出现发作的儿科患者进行了回顾性分析.
- 包括接受针对发作呈现的分流修复的患者.
- 排除受感染的分流病例;进行了文献审查.
主要成果:
- 338名先导患者出现了发作;10名 (2.9%) 确诊的先导功能故障需要修改.
- 在研究期间,分流器故障占所有分流器修订的6.2%.
- 后出血性水头是最常见的病因;发作发生 de novo 或作为已知的患者的模式变化.
结论:
- 发作是脑脊液 (CSF) 短道功能障碍的一个不常见的表现.
- 发作可以是新的发作或在患有先前的患者频率的变化.
- 由于分流器故障而导致的发作的诊断收益率很低,因此需要进一步调查.
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