微血管减压术后乳突气房开放密封不完全导致的迟发性进行性硬膜外气囊肿
Delayed Progressive Extradural Pneumatocele due to Incomplete Sealing of Opened Mastoid Air Cell after Micro-Vascular Decompression.
作者信息
Hong Ki-Sun, Park Kwan
机构信息
Department of Neurosurgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
出版信息
J Korean Neurosurg Soc. 2010 Jun;47(6):477-9. doi: 10.3340/jkns.2010.47.6.477. Epub 2010 Jun 30.
A case of delayed progressive extradural pneumatocele after microvascular decompression (MVD) is presented. A 60-year-old male underwent MVD for hemifacial spasm; the mastoid air cell was opened and sealed with bone wax during surgery. One month after surgery, the patient complained of tinnitus, and progressive extradural pneumatoceles without cerebrospinal fluid (CSF) leakage was observed. Revision surgery was performed and the opened mastoid air cell was completely sealed with muscle patch and glue. The patient's symptoms were resolved, with no recurrence of pneumatoceles at 6 month follow up. Progressive extradural pneumatocele without CSF leakage after posterior fossa surgery is a very rare complication. Previous reports and surgical management of this rare complication are discussed.
本文报告1例微血管减压术（MVD）后迟发性进行性硬膜外气囊肿病例。一名60岁男性因面肌痉挛接受MVD手术；术中打开乳突气房并用骨蜡封闭。术后1个月，患者出现耳鸣，观察到硬膜外气囊肿逐渐进展且无脑脊液（CSF）漏出。遂行翻修手术，用肌肉补片和胶水将打开的乳突气房完全封闭。患者症状得以缓解，随访6个月气囊肿无复发。后颅窝手术后无脑脊液漏的进行性硬膜外气囊肿是一种非常罕见的并发症。文中讨论了该罕见并发症的既往报道及手术治疗方法。
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