Chumas P D, Drake J M, Del Bigio M R
Division of Neurosurgery, Hospital for Sick Children, University of Toronto, Ontario, Canada.
Br J Neurosurg. 1992;6(6):595-9. doi: 10.3109/02688699209002379.
A 2.5-year-old girl with Crouzon's disease, hydrocephalus, and a lumboperitoneal shunt died as a result of chronic tonsillar herniation (acquired Chiari 'malformation'). The possible synergistic role of the cranial dysmorphism and the lumboperitoneal shunt in the development of this anomaly is discussed. The literature is reviewed and it is argued that if hydrocephalus occurs in infants in whom cephalocranial disproportion is likely to develop, then it is inadvisable to insert a lumboperitoneal shunt.
一名患有克鲁宗病、脑积水且接受了腰大池腹腔分流术的2.5岁女孩因慢性扁桃体疝（获得性 Chiari 畸形）死亡。文中讨论了颅骨畸形和腰大池腹腔分流术在这种异常发育过程中可能的协同作用。回顾了相关文献，并指出如果脑积水发生在可能出现头颅比例失调的婴儿身上，那么插入腰大池腹腔分流术是不可取的。
