经终板第三脑室造瘘术用于动脉瘤手术后颅内压监测：技术说明
Third ventriculostomy through the lamina terminalis for intracranial pressure monitoring after aneurysm surgery: technical note.
作者信息
Kraemer Jorge L, Gobbato Pedro L, Andrade-Souza Yuri M
机构信息
Hospital São José, Irmandade da Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, RS, Brasil.
出版信息
Arq Neuropsiquiatr. 2002 Dec;60(4):932-4. doi: 10.1590/s0004-282x2002000600009. Epub 2003 Jan 15.
OBJECTIVE
A new ventriculostomy technique through the lamina terminalis is described. This technique is applied mainly during aneurysm surgery at the acute stage.
METHOD
Thirteen patients were operated on intracranial aneurysms and, during the procedure, had the lamina terminalis fenestrated. A ventricular catheter was inserted into the third ventricule, left in place and connected to an external drainage system for further intracranial pressure (ICP) monitoring and/or cerebrospinal fluid (CSF) drainage.
RESULTS
ICP readings and CSF drainage were obtained in all cases. No complication was recorded.
CONCLUSION
Third ventriculostomy through the lamina terminalis is a simple and easy technique that can be used as an alternative to conventional ventriculostomy. This procedure can be indicated in cases where the ventricule is not reached by means of another technique, and when the decision to perform ventriculostomy is made at the end of aneurysm surgery.
目的
描述一种通过终板的新的脑室造瘘技术。该技术主要应用于急性期动脉瘤手术。
方法
13例颅内动脉瘤患者在手术过程中接受终板开窗。将脑室导管插入第三脑室，留置原位并连接至外部引流系统以进行进一步的颅内压（ICP）监测和/或脑脊液（CSF）引流。
结果
所有病例均获得了ICP读数和CSF引流。未记录到并发症。
结论
经终板第三脑室造瘘是一种简单易行的技术，可作为传统脑室造瘘的替代方法。当无法通过其他技术到达脑室，以及在动脉瘤手术结束时决定进行脑室造瘘时，可采用该手术。
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