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[第三脑室造瘘术治疗梗阻性脑积水:放射性核素脑池造影结果]

[Third ventriculostomy for obstructive hydrocephalus: findings in radioisotope cisternography].

作者信息

Li Wei-guang, Qi Song-tao, Peng Yu-ping, Li Gui-ping, Huang Kai, Deng Zhi-fang

机构信息

Department of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.

出版信息

Nan Fang Yi Ke Da Xue Xue Bao. 2007 Dec;27(12):1929-31.

PMID:18159024
Abstract

OBJECTIVE

To study the findings in radionuclide cisternography in patients with obstructive hydrocephalus following third ventriculostomy.

METHODS

Lumbar radionuclide cisternography was performed in 15 patients with obstructive hydro- cephalus before and after third ventriculostomy.

RESULTS

The postoperative cisternography identified radiopharmaceutical reflux into the lateral cerebral ventricles with delayed clearance for 24 h, similar to the findings by cisternography of communicating hydrocephalus.

CONCLUSION

The cause of ventricular radiopharmaceutical reflux is not yet understood, possibly in association with the reversal of normal cerebrospinal fluid flow though the fenestration on the third ventrical floor.

摘要

目的

研究梗阻性脑积水患者在第三脑室造瘘术后行放射性核素脑池造影的结果。

方法

对15例梗阻性脑积水患者在第三脑室造瘘术前和术后进行腰段放射性核素脑池造影。

结果

术后脑池造影显示放射性药物反流至侧脑室且清除延迟24小时,这与交通性脑积水脑池造影的结果相似。

结论

脑室放射性药物反流的原因尚不清楚,可能与通过第三脑室底部开窗处正常脑脊液流动的逆转有关。

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