作为内透膜外科手术并发症的超细胞性气球:一个案例报告
Abdulrahman Awad1, Amjad Al-Ali1, Aghyad Ahmad2
1Otorhinolaryngology Department, Tishreen Military Hospital, Damascus, Syria.
Ear, nose, & throat journal
|September 17, 2024
概括
一个罕见的肺脑病 (头骨中的空气) 没有脑脊液 (CSF) 泄漏的病例发生在内透视透视手术 (ETSS) 后. 这种并发症虽然很少见,但强调了需要仔细关闭手术部位的必要性.
科学领域:
- 神经外科 神经外科
- 内镜头骨底部手术 进行内镜头骨底部手术
背景情况:
- 肺脑是一种已知的内透视形手术 (ETSS) 的并发症,通常与脑脊液 (CSF) 泄漏有关.
- 没有CSF泄漏的体外肺脑病是ETSS后异常罕见的事件.
研究的目的:
- 在ETSS后报告一个独特的体外肺脑病例,没有CSF泄漏.
- 强调肺脑病可能独立于ETSS后的CSF泄漏发生的可能性.
主要方法:
- 一个成年男性患者的病例介绍,他接受了针对大细胞/超细胞瘤的ETSS.
- 通过CT扫描证实了诊断,揭示了腹腔下肺脑病.
- 通过ETSS进行紧急重新运行以进行管理.
主要成果:
- 患者在ETSS后一周出现了严重的头痛和视力恶化.
- 手术后的成像显示了腹膜下肺脑病.
- 立即缓解头痛和逆转视力恶化后出现的ETSS.
结论:
- 肺脑可能是ETSS的并发症,随着或没有相关的CSF泄漏而发生.
- 精心密封手术部位的细致密封可以防止这种罕见的并发症.
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