内镜下第三脑室造口术后双侧慢性硬膜下血肿:病例报告及文献回顾

I. Emmanuel, A. Michael
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引用次数: 2

摘要

文献报道了与内镜下第三脑室造口术(ETV)相关的几种并发症,包括慢性硬膜下血肿。这通常是单侧的。我们报告一例12个月大的女童双侧慢性硬膜下血肿(CSH)后3个月的ETV。她在5个月大时因先天性导水管狭窄伴明显的脑幔变薄而行脑室-腹膜分流术。在9个月大时,由于分流梗阻进行了ETV。通过两侧钻孔抽吸成功地处理了CSH。虽然ETV是一种简单、有效和安全的方法,也是许多中心治疗非沟通性脑积水的主要手段,但仍应强调长期随访。
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Bilateral Chronic Subdural Haematoma After Endoscopic Third Ventriculostomy: Case Report and Review of the Literature
Several complications related to Endoscopic third ventriculostomy (ETV) have been reported in the literature including chronic subdural haematoma. This is usually unilateral. We report a case of a 12-month-old female child with bilateral chronic subdural haematoma (CSH) 3months after an ETV. She had a ventriculoperitoneal shunt at 5months of age on account of congenital aqueductal stenosis with marked cerebral mantle thining. At 9months of age an ETV was done due to shunt obstruction. The CSH was successfully treated by burr-hole evacuation on both sides. Though ETV is a simple, effective and safe procedure, and also the main stay of treatment for noncommunicating hydrocephalus in many centres, long term follow up should still be emphasised.
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