颅骨膜蒂状移植物术后肿胀产生颅内占位效应。两例报告。

Postoperative swelling of pericranial pedicle graft producing intracranial mass effect. Report of two cases.

作者信息

Jensen R, McCutcheon I E, DeMonte F

机构信息

Department of Neurosurgery, The University of Texas M.D. Anderson Cancer Center, Houston 77030, USA.

出版信息

J Neurosurg. 1999 Jul;91(1):124-7. doi: 10.3171/jns.1999.91.1.0124.

DOI:10.3171/jns.1999.91.1.0124

PMID:10389891

Abstract

Two cases of florid swelling of pericranial pedicle grafts are reported. Intracranial mass effect produced by the grafts necessitated reoperation with graft removal in one case and graft revision in the other. No permanent neurological deficits were incurred by either patient. Venous congestion and associated swelling within the graft were considered to be related to constriction of the graft base at the frontal bone flap-skull base interface in one patient and torsion of the graft base in the other.

摘要

报告了两例颅骨蒂移植片明显肿胀的病例。移植片产生的颅内占位效应使得其中一例患者需要再次手术移除移植片，另一例患者需要对移植片进行修正。两位患者均未出现永久性神经功能缺损。在其中一位患者中，移植片内的静脉充血及相关肿胀被认为与移植片基部在额骨瓣-颅底界面处受压有关，而在另一位患者中则与移植片基部扭转有关。