极其长期的创伤后脑脊液瘘
Extraordinarily long-term posttraumatic cerebrospinal fluid fistula.
作者信息
Kim Hyoung Sub, Hur Jin Woo, Lee Jong Won, Lee Hyun Koo
机构信息
Department of Neurosurgery, Cheongju St. Mary's Hospital, Cheongju, Korea.
出版信息
J Korean Neurosurg Soc. 2007 Nov;42(5):403-5. doi: 10.3340/jkns.2007.42.5.403. Epub 2007 Nov 20.
Abstract
Most posttraumatic cerebrospinal fluid (CSF) leakage is noticed by the patients with the first symptom, rhinorrhea. A 38-year-old woman presented with frequent clear continuous rhinorrhea and otorrhea for 5 years after basilar skull fracture. After this, meningitis was developed with subsequent CSF fistula. Her clinical symptom was improved by medical treatment. The dural defect and CSF leakage were not detected by computerized tomography (CT) cisternography. We report a rare case of persistent posttraumatic CSF fistula that continued for five years.
摘要
大多数创伤后脑脊液（CSF）漏是由患者以首发症状鼻漏发现的。一名38岁女性在颅底骨折后5年出现频繁的清亮持续性鼻漏和耳漏。此后，发生脑膜炎并继发脑脊液瘘。经药物治疗，她的临床症状有所改善。计算机断层扫描（CT）脑池造影未发现硬脑膜缺损和脑脊液漏。我们报告一例罕见的创伤后持续性脑脊液瘘持续5年的病例。
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本文引用的文献
1
Late manifestations of traumatic lesions of the anterior skull base.前颅底创伤性病变的晚期表现
Skull Base Surg. 1997;7(2):77-83. doi: 10.1055/s-2008-1058612.
2
Severe craniofacial fractures with frontobasal involvement and cerebrospinal fluid fistula: indications for surgical repair.伴有额底部受累及脑脊液瘘的严重颅面骨折：手术修复的指征
Surg Neurol. 2005 Jun;63(6):559-63; discussion 563-4. doi: 10.1016/j.surneu.2004.07.047.
3
Ascending meningitis secondary to traumatic cerebrospinal fluid leaks.继发于创伤性脑脊液漏的上行性脑膜炎
Am J Rhinol. 2000 Jul-Aug;14(4):257-9. doi: 10.2500/105065800779954473.
4
Surgical approaches to the anterior fossa, and preservation of olfaction.前颅窝的手术入路及嗅觉保留
Adv Tech Stand Neurosurg. 1999;25:195-241. doi: 10.1007/978-3-7091-6412-9_6.
5
Cerebrospinal fluid fistula: detection with MR cisternography.脑脊液瘘：磁共振脑池造影检测
AJNR Am J Neuroradiol. 1998 Apr;19(4):627-31.
6
Compound anterior cranial base fractures: classification using computerized tomography scanning as a basis for selection of patients for dural repair.复合性前颅底骨折：以计算机断层扫描为基础进行分类，作为选择硬脑膜修复患者的依据。
J Neurosurg. 1998 Mar;88(3):471-7. doi: 10.3171/jns.1998.88.3.0471.
7
MR cisternography: a new method for the diagnosis of CSF fistulae.磁共振脑池造影：诊断脑脊液瘘的一种新方法。
Eur Radiol. 1997;7(9):1485-91. doi: 10.1007/s003300050321.
8
"High risk" anterior basal skull fractures. Surgical treatment of 64 consecutive cases.“高危”前颅底骨折。连续64例手术治疗。
J Neurosurg Sci. 1995 Sep;39(3):191-7.
9
CT cisternography in the investigation of cerebrospinal fluid rhinorrhoea.
Clin Radiol. 1993 Jun;47(6):403-8. doi: 10.1016/s0009-9260(05)81061-x.
10
[Localization of frontobasal traumatic cerebrospinal fluid fistulas. Comparison of radiologic and surgical findings].[额底部创伤性脑脊液瘘的定位。放射学与手术结果的比较]
Zentralbl Neurochir. 1993;54(1):24-31.
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