后颅窝减压术在急性小脑炎中的作用。
The role of posterior fossa decompression in acute cerebellitis.
作者信息
de Ribaupierre S, Meagher-Villemure K, Villemure J G, Cotting J, Jeannet P Y, Porchet F, Roulet E, Bloch J
机构信息
Département de Neurochirurgie, CHUV, Lausanne, Switzerland.
出版信息
Childs Nerv Syst. 2005 Nov;21(11):970-4. doi: 10.1007/s00381-005-1176-7. Epub 2005 Jun 1.
BACKGROUND
We present two cases of children who were diagnosed with cerebellitis with acute cerebellar swelling. This rare pathology is potentially fatal, and no clear treatment guidelines are described in the literature.
DISCUSSION
Considering our experience, we discuss the different therapeutic strategies and propose aggressive surgical measures consisting of external ventricular drainage and posterior fossa decompression in case of failure of early response to medical treatment to limit secondary cerebellar and brainstem lesions.
背景
我们报告两例被诊断为伴有急性小脑肿胀的小脑炎患儿。这种罕见的病理情况可能致命，且文献中未描述明确的治疗指南。
讨论
结合我们的经验，我们讨论了不同的治疗策略，并提出在对药物治疗早期反应不佳时采取积极的手术措施，包括外部脑室引流和后颅窝减压，以限制继发性小脑和脑干病变。
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