Université Paris VI, Pierre et Marie Curie, Paris, France.
Neurosurgery. 2010 Dec;67(2 Suppl Operative):485-8. doi: 10.1227/NEU.0b013e3181f742b2.
Subdural collection is a possible adverse event that can occur after hemispherotomy.
: We describe our surgical technique to avoid subdural collection after peri-insular hemispherotomy in children.
Since 2008, we have closed the corticotomy with interrupted pial sutures and fibrinogen glue in 16 patients.
This operative technique stopped the occurrence of postoperative subdural collection and was not associated with an increased incidence of postoperative hydrocephalus.
We recommend closing ventricular access after functional hemispherotomy, notably in patients who have had a stroke.
硬脑膜下积液是半球切开术后可能发生的一种不良事件。
我们描述了一种避免儿童岛叶周围半球切开术后硬脑膜下积液的手术技术。
自 2008 年以来，我们对 16 例患者采用间断缝合和纤维蛋白胶闭合皮质切开术。
这种手术技术阻止了术后硬脑膜下积液的发生，且与术后脑积水发生率增加无关。
我们建议在功能半球切开术后关闭脑室入路，尤其是在发生过卒中的患者中。
