晚期自发性肺脑病在腹腔关节外科手术后:一种成功的保守治疗方法
Eliza Maria Bertolaccini Scolin1, José Orlando de Melo Junior1, Paulo José Da Mata Pereira1
1Neurosurgery Department, Paulo Niemeyer State Brain Institute, Rio de Janeiro, BRA.
Cureus
|March 9, 2026
概括
晚期肺脑病,或内空气,在心室关节分流放置后是罕见的. 在没有感染或分流问题的稳定患者中,保守的管理可以有效.
科学领域:
- 神经外科 神经外科
- 神经学 神经学
- 医疗成像医学成像
背景情况:
- 肺脑病,也就是内空气的存在,是心室关节 (VP) 道放置的罕见并发症.
- 延迟出现的肺脑病是不常见的,在医学文献中记录的很少.
研究的目的:
- 报告在VP分离器插入后出现延迟自发性静脉肺脑病例.
- 讨论这种罕见并发症的潜在机制并评估对这种罕见并发症的保守管理.
主要方法:
- 一个74岁的男性患有延迟性肺脑病的病例报告,在VP转移后10个月.
- 临床表现,计算机断层扫描 (CT) 成像和保守的管理策略.
- 12个月的随访,以评估复发和临床稳定性.
主要成果:
- 患者出现了 posture-dependent头痛,耳声和水声,CT显示了心室内空气和潜在的头骨底部缺陷.
- 由于临床稳定性和没有感染或分流器故障,选择了保守的方法.
- 在两周内观察到肺脑病完全消失,在12个月的随访期间没有复发.
结论:
- 在VP转移后延迟的肺脑病是一个罕见的实体.
- 保守管理对于精心挑选的,临床稳定的患者来说,可能是安全有效的选择.
- 这一案例有助于理解延迟性肺脑病的非侵入性治疗策略.
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