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腰大池腹腔分流术后颅内血肿:一例罕见病例报告

Intracerebral hematoma following lumboperitoneal shunt insertion: a rare case report.

作者信息

Turkoglu Erhan, Kazanci Burak, Karavelioglu Ergun, Sanli Metin, Kazanci Burcu, Sekerci Zeki

机构信息

Ministry of Health Yildirim Beyazit Diskapi Education and Research Hospital, 1. Neurosurgery Clinic, Ankara, Turkey.

出版信息

Turk Neurosurg. 2011 Jan;21(1):94-6.

Abstract

Lumboperitoneal shunting is widely used for the surgical management of pseudotumor cerebri and other pathologies such as communicating hydrocephalus. Although it is a safe method, it could be associated with complications including subarachnoid hemorrhage, subdural and rarely intracerebral hematoma. A 44-year-old female applied to our clinic with complaints of severe headache, retroorbital pain and blurred vision. Lumbar puncture demonstrated cerebrospinal fluid opening pressure of cmH2O. A non-programmable lumboperitoneal shunt with two distal slit valves was inserted due to pseudotumor cerebri. She deteriorated shortly after surgery. Immediate cranial computed tomography scan revealed a right parietal intracerebral hematoma. Development of intracerebral hematoma following lumboperitoneal shunt is a rare complication. We discuss this rare event accompanied by the literature.

摘要

腰腹分流术广泛应用于假性脑瘤及其他病症如交通性脑积水的外科治疗。尽管它是一种安全的方法,但可能会伴有包括蛛网膜下腔出血、硬膜下血肿以及罕见的脑内血肿等并发症。一名44岁女性因严重头痛、眶后疼痛和视力模糊前来我院就诊。腰椎穿刺显示脑脊液初压为厘米水柱。因假性脑瘤插入了带有两个远端裂隙瓣膜的不可编程腰腹分流管。术后不久她的病情恶化。即刻头颅计算机断层扫描显示右侧顶叶脑内血肿。腰腹分流术后发生脑内血肿是一种罕见的并发症。我们结合文献对这一罕见事件进行讨论。

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