经内窥镜第三脑室造口术治疗继发于输水管网的迟发性外伤性脑积水1例。

J. Roth, Shaun D. Rodgers, D. Harter
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引用次数: 1

摘要

背景:迟发性创伤后脑积水通常继发于蛛网膜绒毛功能不全,这是由于对血液制品的反应性炎症反应所致。急性梗阻性脑积水继发于输水管凝块或中脑挫伤已发表;然而,以前没有发现迟发性梗阻性外伤性脑积水的出版物。病例描述:我们报告一例继发于输水管网的迟发性梗阻性脑积水。患者通过内窥镜第三脑室切开术成功治疗。据我们所知,这是第一例继发于输水管网的迟发性梗阻性创伤后脑积水,我们讨论了其病理生理原因和相关的治疗方案。
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Delayed Posttraumatic Hydrocephalus Secondary To An Aqueductal Web Treated With Endoscopic Third Ventriculostomy: A Case Report.
BackgroundDelayed posttraumatic hydrocephalus is typically communicating secondary to arachnoid villi insufficiency, due to a reactive inflammatory response to blood products. Acute obstructive hydrocephalus secondary to an aqueductal clot or midbrain contusion has been published; however, no previous publications of delayed obstructive posttraumatic hydrocephalus have been found. Case descriptionWe present a case report of delayed obstructive hydrocephalus secondary to an aqueductal web. The patient was successfully treated by an endoscopic third ventriculostomy. ConclusionTo our knowledge, this is the first description of delayed obstructive posttraumatic hydrocephalus secondary to an aqueductal web, and we discuss the pathophysiological cause, and relevant treatment options.
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