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脑脊液分流器故障:识别与应急处理

Cerebrospinal shunt malfunction: recognition and emergency management.

作者信息

Khan Arshad Ali, Jabbar Abdul, Banerjee Ashis, Hinchley Geoff

机构信息

Emergency Department, Chase Farm Hospital, Enfield.

出版信息

Br J Hosp Med (Lond). 2007 Dec;68(12):651-5. doi: 10.12968/hmed.2007.68.12.651.

DOI:10.12968/hmed.2007.68.12.651
PMID:18186399
Abstract

Indwelling shunts to divert CSF flow are essential in treating hydrocephalus. There is a high incidence of shunt malfunction, which accounts for the increasing popularity of endoscopic third ventriculostomy. Failure to recognize and act on symptoms and signs of shunt malfunction may lead to loss of life or to permanent neurological dysfunction. This review provides the basis for assessment and management based on updated clinical knowledge.

摘要

用于分流脑脊液的留置分流管在治疗脑积水方面至关重要。分流管故障的发生率很高,这也是内镜下第三脑室造瘘术越来越受欢迎的原因。未能识别分流管故障的症状和体征并采取相应措施可能会导致死亡或永久性神经功能障碍。本综述基于最新的临床知识为评估和管理提供了依据。

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1
Cerebrospinal shunt malfunction: recognition and emergency management.脑脊液分流器故障:识别与应急处理
Br J Hosp Med (Lond). 2007 Dec;68(12):651-5. doi: 10.12968/hmed.2007.68.12.651.
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Sylvian aqueduct syndrome and global rostral midbrain dysfunction associated with shunt malfunction.大脑导水管综合征及与分流装置故障相关的全脑嘴侧中脑功能障碍
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The role of endoscopic third ventriculostomy in the management of shunt malfunction.内镜下第三脑室造瘘术在分流管故障处理中的作用。
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Radiographic evaluation of pediatric cerebrospinal fluid shunt malfunction in the emergency setting.急诊环境下小儿脑脊液分流功能障碍的影像学评估
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Prior CSF shunting increases the risk of endoscopic third ventriculostomy failure in the treatment of obstructive hydrocephalus in adults.既往脑脊液分流术会增加成人梗阻性脑积水内镜下第三脑室造瘘术失败的风险。
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Third ventriculostomy in shunt malfunction.脑室第三造瘘术治疗分流故障。
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Percutaneous flexible neuroendoscopic ventriculostomy in patients with shunt malfunction as an alternative procedure to shunt revision.
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Intracranial pressure monitoring and lumbar puncture after endoscopic third ventriculostomy in children.儿童内镜下第三脑室造瘘术后的颅内压监测与腰椎穿刺
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Endoscopic third ventriculostomy in patients with malfunctioning CSF-shunt.内镜第三脑室造瘘术治疗脑脊液分流故障患者。
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Stereotactic third ventriculostomy in patients with nontumoral adolescent/adult onset aqueductal stenosis and symptomatic hydrocephalus.立体定向第三脑室造瘘术治疗非肿瘤性青少年/成人起病的导水管狭窄和症状性脑积水患者。
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Childs Nerv Syst. 2020 Jan;36(1):59-71. doi: 10.1007/s00381-019-04264-3. Epub 2019 Aug 1.
2
Migration of ventriculoperitoneal shunt to urethral and rectal orifices.脑室腹腔分流管移位至尿道和直肠开口处。
BMJ Case Rep. 2017 Nov 8;2017:bcr-2017-220187. doi: 10.1136/bcr-2017-220187.
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Ventriculoperitoneal shunt failure from spontaneous knotting of the peritoneal catheter.
腹膜导管自发打结导致脑室腹腔分流失败。
CMAJ. 2016 Mar 15;188(5):E97. doi: 10.1503/cmaj.150635. Epub 2015 Dec 22.
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Strain-dependent brain defects in mouse models of primary ciliary dyskinesia with mutations in Pcdp1 and Spef2.原发性纤毛运动障碍小鼠模型中,Pcdp1和Spef2发生突变后,脑缺陷与品系相关。
Neuroscience. 2014 Sep 26;277:552-67. doi: 10.1016/j.neuroscience.2014.07.029. Epub 2014 Jul 27.