内镜下第三脑室造瘘术后并发癫痫的短暂性低钠血症

Transient hyponatriemia complicated by seizures after endoscopic third ventriculostomy.

作者信息

Vaicys C, Fried A

机构信息

Department of Neurosurgery, Neurological Institute of New Jersey, University of Medicine and Dentistry of New Jersey, Newark, USA.

出版信息

Minim Invasive Neurosurg. 2000 Dec;43(4):190-1. doi: 10.1055/s-2000-11371.

DOI:10.1055/s-2000-11371

PMID:11270829

Abstract

We present an infant who underwent endoscopic third ventriculostomy due to symptomatic hydrocephalus secondary to aqueductal stenosis. This is the first reported case of inappropriate secretion of antidiuretic hormone complicated by hyponatriemia and seizures following endoscopic surgery. The possibility of such a neuroendoscopic complication should alert neurosurgeons and close observation of serum electrolytes is highly recommended in the acute postoperative period, particularly in infants.

摘要

我们报告一名因导水管狭窄继发症状性脑积水而接受内镜下第三脑室造瘘术的婴儿。这是首例报道的内镜手术后抗利尿激素分泌不当并发低钠血症和癫痫发作的病例。这种神经内镜并发症的可能性应引起神经外科医生的警惕，强烈建议在术后急性期密切观察血清电解质，尤其是婴儿。