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12只犬脑室腹腔分流术治疗脑积水

Treatment of hydrocephalus with ventriculoperitoneal shunting in twelve dogs.

作者信息

Shihab Nadia, Davies Emma, Kenny Patrick J, Loderstedt Shenja, Volk Holger A

机构信息

Department of Veterinary Clinical Sciences, Royal Veterinary College, North Mymms, UK.

出版信息

Vet Surg. 2011 Jun;40(4):477-84. doi: 10.1111/j.1532-950X.2011.00832.x. Epub 2011 Apr 26.

Abstract

OBJECTIVE

To report use of ventriculoperitoneal shunt in dogs for management of hydrocephalus for which no cause could be identified.

STUDY DESIGN

Case series.

ANIMALS

Dogs with hydrocephalus (n=12).

METHODS

Medical records (June 2003-June 2009) were reviewed to determine preoperative clinical findings, initial postoperative, and long-term outcome. Additional follow-up information was obtained from owners and referring veterinarians.

RESULTS

All dogs had signs of forebrain dysfunction, 7 had vestibular signs and 3 had signs of spinal pain. Postoperative complications included pain (n=4), undershunting because of shunt kinking (n=1) and seizures (n=1). Initial improvement occurred in all dogs and was sustained in 9 dogs, 1 of which required revision surgery.

CONCLUSIONS

Sustained clinical improvement can be achieved in hydrocephalus with no active underlying cause by use of ventriculoperitoneal shunting.

摘要

目的

报告在无法确定病因的犬脑积水治疗中使用脑室腹腔分流术的情况。

研究设计

病例系列。

动物

脑积水犬(n = 12)。

方法

回顾医疗记录(2003年6月至2009年6月)以确定术前临床发现、术后初期及长期结果。从犬主和转诊兽医处获取额外的随访信息。

结果

所有犬均有前脑功能障碍体征,7只出现前庭体征,3只出现脊柱疼痛体征。术后并发症包括疼痛(n = 4)、因分流管扭结导致分流不足(n = 1)和癫痫发作(n = 1)。所有犬术后初期均有改善,9只犬的改善得以持续,其中1只需要进行翻修手术。

结论

对于无活动性潜在病因的脑积水,使用脑室腹腔分流术可实现持续的临床改善。

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