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脑室囊肿造瘘术及内镜下第三脑室造瘘术/分流管置入术在婴儿期巨大小脑后囊肿继发脑积水治疗中的应用

Ventriculocystostomy and endoscopic third ventriculostomy/shunt placement in the management of hydrocephalus secondary to giant retrocerebellar cysts in infancy.

作者信息

King James A J, Auguste Kurtis I, Halliday William, Drake James M, Kulkarni Abhaya V

机构信息

Department of Neurosurgery, The Royal Melbourne Hospital, Melbourne, Australia.

出版信息

J Neurosurg Pediatr. 2010 Apr;5(4):403-7. doi: 10.3171/2009.10.PEDS09208.

Abstract

Hydrocephalus secondary to giant retrocerebellar cysts in infancy is a challenging condition and many treatment options exist. The authors report on 3 consecutive cases involving infants under the age of 6 months treated successfully with ventriculocystostomy in combination with direct hydrocephalus treatment (endoscopic third ventriculostomy or shunt placement). They describe the operative procedure, the surgical morbidity, and outcome in each case and review the literature regarding surgical approaches to this condition.

摘要

婴儿期继发于巨大小脑后囊肿的脑积水是一种具有挑战性的病症,并且存在多种治疗选择。作者报告了3例连续病例,这些病例涉及6个月以下的婴儿,他们通过脑室囊肿造瘘术联合直接脑积水治疗(内镜下第三脑室造瘘术或分流管置入)获得了成功治疗。他们描述了每个病例的手术过程、手术并发症及结果,并回顾了关于这种病症手术方法的文献。

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