Allouch H, Behnke-Mursch J, Mursch K
Department of Neurosurgery, Zentralklinik, Bad Berka, Germany.
Acta Neurochir (Wien). 2007 Jan;149(1):91-3; discussion 93. doi: 10.1007/s00701-006-1043-7. Epub 2006 Nov 30.
Haemorrhagic complications occurring after burr-hole procedures are diagnosed only in symptomatic patients or when postoperative imaging is performed routinely. We report the development of an intracerebral haematoma which occurred during ultrasound-guided burr-hole biopsy. Real-time ultrasound through the same burr-hole enabled us to determine the dynamics of the bleeding and its terminal volume. The operation was finished without further complications and the patient did not experience an impairment of her neurological state. Intra-operative ultrasound is capable of detecting "invisible" complications during burr-hole procedures.
钻孔手术后发生的出血性并发症仅在有症状的患者中被诊断出来，或者在常规进行术后影像学检查时才被发现。我们报告了一例在超声引导下钻孔活检过程中发生的脑内血肿。通过同一个钻孔进行实时超声检查，使我们能够确定出血的动态情况及其最终体积。手术顺利完成，没有出现进一步的并发症，患者的神经状态也没有受到损害。术中超声能够在钻孔手术过程中检测到“隐形”并发症。
