脑实质内导管周围囊肿作为早产儿脑室-腹腔分流术的一种并发症。
Intraparenchymal pericatheter cyst as a complication of a ventriculo-peritoneal shunt in a premature infant.
作者信息
Rim Hae-Ri, Hwang Sung Kyoo, Kwon Soon-Hak, Kim Heng-Mi
机构信息
Department of Pediatrics, Kyungpook National University Hospital, Daegu, Korea.
出版信息
J Korean Neurosurg Soc. 2011 Aug;50(2):143-6. doi: 10.3340/jkns.2011.50.2.143. Epub 2011 Aug 31.
Abstract
A ventriculo-peritoneal shunt is a standard surgical management for hydrocephalus, but complications may impede the management of this disease. Obstruction of the catheter is one of the most common complications and manifests clinically in various ways. Intraparenchymal cyst development after shunt malfunction has been reported by several authors, but the underlying mechanism and optimal treatment methods are debatable. The authors report a case of intraparenchymal cyst formation around a proximal catheter in a premature infant after a ventriculo-peritoneal shunt and discuss its pathogenesis and management.
摘要
脑室-腹腔分流术是治疗脑积水的标准外科手术方法，但并发症可能会影响该疾病的治疗。导管阻塞是最常见的并发症之一，临床表现多样。已有多位作者报道了分流功能障碍后脑实质内囊肿的形成，但其潜在机制和最佳治疗方法仍存在争议。本文作者报告了一例早产儿在脑室-腹腔分流术后近端导管周围形成脑实质内囊肿的病例，并讨论了其发病机制和治疗方法。
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