与水头症相关的脊脂瘤:报告了两个病例
Kirill Sysoev1, Arina Kulaeva2, Dimitrios Tsiptsios3
1Division of Pediatric Neurosurgery, Almazov National Medical Research Centre, St. Petersburg, Russian Federation. sysoev.rnsi@mail.ru.
概括
儿童的脊脂瘤虽然很少见,但会导致水头. 这些瘤的外科切除仍然可能需要由于持续的腹腔大脑病变而需要分路,其根本原因尚不清楚.
科学领域:
- 儿科神经外科 儿科神经外科
- 神经学 神经学
- 发育生物学 发展生物学
背景情况:
- 椎脂瘤是一种罕见的先天性瘤.
- 水脑是一种不常见但严重的脊椎脂瘤并发症.
- 在这些病例中,水头的确切病原性仍然不太清楚.
研究的目的:
- 报告两例小儿脊椎脂瘤病例与水脑有关.
- 讨论这些罕见疾病的管理和结果.
- 在这种背景下,突出了解头发育的挑战.
主要方法:
- 两名患有骨脊椎脂瘤和脑水症的儿科患者的病例介绍.
- 脊椎脂瘤的手术切除.
- 头的管理,包括心室外皮关节突变的放置.
- 长期的临床随访.
主要成果:
- 这两名患者都出现了椎脊脂瘤和脑水.
- 在这两种情况下,手术切除脂瘤并没有解决脑水症.
- 两位患者都需要腹腔关节分流,以治疗过度的腹腔大.
- 内压升高的症状回归,患者长期保持稳定.
结论:
- 骨脊椎脂瘤可以导致复杂的水头,需要除了瘤切除之外的外科手术.
- 在儿童中,脂瘤切除后的渐进性水脑病的病因尚未完全阐明.
- 需要进一步的研究,以了解脑病原体在骨脊椎脂瘤的发病原因.
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