对于大脑瘤而言,心室上关节的分流
Katharine Russell1, Simon T Kornberg1
1Southeast Veterinary Neurology, 9300 Southwest 40th Street, Miami, FL 33165, USA.
The Veterinary clinics of North America. Small animal practice
|October 16, 2024
概括
腹腔皮管转移可以在脑瘤患者中管理阻塞性水脑,改善生存率和生活质量. 这种干预对于心室系统内导致显著临床症状的瘤至关重要.
科学领域:
- 神经外科 神经外科
- 在瘤学瘤学.
- 神经学 神经学
背景情况:
- 大脑瘤会导致各种各样的临床影响,包括质量效应,和发作.
- 阻塞性水脑是脑瘤的常见并发症,特别是心室系统中的瘤.
- 水脑常常导致脑内心室内脑瘤患者的主要临床表现.
研究的目的:
- 描述用于治疗脑瘤次要阻塞性水脑的腹腔关节变流的应用.
- 评估作为综合管理策略的一部分,变流的作用.
- 评估改善患者寿命和生活质量的潜力.
主要方法:
- 追溯或前的案例系列分析.
- 手术植入心室上关节的外科移植.
- 多学科瘤管理,包括瘤和神经外科干预.
主要成果:
- 在患有脑瘤诱导的脑水症的患者中成功实施心室关节切换.
- 减少头相关症状和改善神经状态后的移动.
- 在整体治疗计划中整合轮流治疗有助于患者的存活率.
结论:
- 腹腔皮管转移是脑瘤患者阻塞性水脑的有效治疗方法.
- 换行可以显著改善生活质量,并可能延长存活时间.
- 这种手术是管理水脑的复杂脑瘤病例的重要组成部分.
更多相关视频
14:59Neuronavigation and Laparoscopy Guided Ventriculoperitoneal Shunt Insertion for the Treatment of Hydrocephalus
Published on: October 14, 2022
7.0K
03:13Author Spotlight: A Single-Entry Point Endoscopic Intraventricular Approach for Third Ventriculostomy and Pineal Biopsy
Published on: June 28, 2024
580
相关概念视频
Anatomy of the Brain: Ventricles
There are hollow fluid-filled cavities known as ventricles deep inside the human brain. There are two lateral ventricles, one in each cerebral hemisphere, and each has three different projections — the anterior, inferior, and posterior horns visible from the lateral side. A thin membrane called the septum pellucidum separates the two lateral ventricles. The slender third ventricle in the diencephalon is connected to each lateral ventricle via a channel called the interventricular foramen. The...
Drug Delivery: Parenteral Route
The parenteral route is a critical method of drug administration. It delivers compounds directly into the systemic circulation and bypasses the gastrointestinal tract. This approach is particularly advantageous for drugs that exhibit poor absorption or instability when administered orally.
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
There are three primary parenteral routes: intravenous (IV), intramuscular (IM), and subcutaneous (SC). The IV route introduces the drug directly into the bloodstream, ensuring immediate action. The IM route...
Brain Abscess l: Introduction
A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial infections,...
Increased Intracranial Pressure l: Introduction
Intracranial hypertension is a sustained elevation of intracranial pressure (ICP) above 22 mm Hg. In supine adults, normal ICP is ~7–15 mm Hg.The rigid, nonexpandable cranium contains three components—brain tissue, blood, and cerebrospinal fluid (CSF)—that total ~1,700 mL in a typical adult: 1,400 mL brain (~80%), 150 mL blood (~10%), and 150 mL CSF (~10%). According to the Monro–Kellie doctrine, total intracranial volume is effectively fixed. When one component expands, CSF and venous blood...
Increased Intracranial Pressure ll: Pathophysiology
Increased intracranial pressure (ICP) refers to a potentially life-threatening rise in pressure inside the skull. This usually happens when there is a major change in the volume of brain tissue, blood, or cerebrospinal fluid (CSF) — the three components inside the skull. According to the Monro-Kellie doctrine, if the volume of one component increases, the volumes of the other components must decrease to maintain normal pressure. If this does not happen, ICP rises.The process often begins with...
Cerebral Edema ll: Pathophysiology
Vasogenic edema is a major form of cerebral edema characterized by abnormal accumulation of fluid in the brain’s extracellular space due to disruption of the blood–brain barrier (BBB). The BBB is a specialized structure composed of endothelial cells connected by tight junctions, supported by astrocytic endfeet and a basement membrane. Under normal conditions, it tightly regulates the movement of ions, proteins, and solutes between the bloodstream and brain parenchyma. When this barrier loses...
