Reeves A, Muhonen M, Loudon W
Department of Neurosurgery, University of California Irvine, Orange, California 92868, USA.
Minim Invasive Neurosurg. 2011 Jun;54(3):132-4. doi: 10.1055/s-0031-1279717. Epub 2011 Aug 23.
Neuroendoscopy is a rapidly growing field, but the risk of intraventricular hemorrhage is signficant. There are few novel ways of obtaining hemostasis for major hemorrhage described in the literature.
A 5-year-old boy with a history of intraventricular hemorrhage and multi-cystic hydrocephalus presented with worsening brainstem compression from dilation of a 4 (th) ventricle cyst.
During endoscopic surgery to fenestrate the cyst, arterial hemorrhage was emergently controlled with the hemostatic agent, FloSeal.
To the best of the authors' knowledge, this is the first report of a patient with intraoperative intraventricular hemorrhage controlled with FloSeal.
神经内镜是一个快速发展的领域，但脑室内出血风险很大。文献中描述的用于大出血止血的新方法很少。
一名5岁男孩，有脑室内出血和多囊性脑积水病史，因第四脑室囊肿扩张导致脑干压迫加重前来就诊。
在内镜下对囊肿进行开窗手术时，使用止血剂FloSeal紧急控制了动脉出血。
据作者所知，这是首例使用FloSeal控制术中脑室内出血患者的报告。
