• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利：CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法，用中文像聊天一样搜索，搜遍4000万医学文献。AI智能推荐，让科研检索更轻松。

立即免费搜索

文件翻译

保留排版，准确专业，支持PDF/Word/PPT等文件格式，支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述，25分钟生成高质量综述，智能提取关键信息，辅助科研写作。

立即免费体验

特发性脑室出血性梗阻性脑积水 1 例报告并文献复习

Transient Obstructive Hydrocephalus due to Intraventricular Hemorrhage: A Case Report and Review of Literature.

机构信息

Department of Neurological Surgery, Washington University School of Medicine, St. Louis, MO, USA.

出版信息

J Clin Neurol. 2013 Jul;9(3):192-5. doi: 10.3988/jcn.2013.9.3.192. Epub 2013 Jul 1.

DOI:10.3988/jcn.2013.9.3.192
PMID:23894243
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3722471/
Abstract

BACKGROUND

Acute transient obstructive hydrocephalus is rare in adults. We describe a patient with intraventricular hemorrhage (IVH) who experienced the delayed development of acute transient hydrocephalus.

CASE REPORT

A 33-year-old man with a previously diagnosed Spetzler-Martin Grade 5 arteriovenous malformation presented with severe headache, which was found to be due to IVH. Forty hours after presentation he developed significant obstructive hydrocephalus due to the thrombus migrating to the cerebral aqueduct, and a ventriculostomy placement was planned. However, shortly thereafter his headache began to improve spontaneously. Within 4 hours after onset the headache had completely resolved, and an interval head CT scan revealed resolution of hydrocephalus.

CONCLUSIONS

In patients with IVH, acute obstructive hydrocephalus can develop at any time after the ictus. Though a delayed presentation of acute but transient obstructive hydrocephalus is unusual, it is important to be aware of this scenario and ensure that deterioration secondary to thrombus migration and subsequent obstructive hydrocephalus do not occur.

摘要

背景

成人急性短暂性梗阻性脑积水罕见。我们描述了一例脑室出血（IVH）患者发生急性短暂性脑积水的延迟发展。

病例报告

一名 33 岁男性，此前诊断为 Spetzler-Martin 分级 5 级动静脉畸形，出现严重头痛，发现是由 IVH 引起的。发病后 40 小时，由于血栓迁移到脑导水管，他出现明显的梗阻性脑积水，计划进行脑室造口术。然而，此后不久他的头痛开始自发缓解。发病后 4 小时内，头痛完全缓解，间隔头部 CT 扫描显示脑积水缓解。

结论

在 IVH 患者中，急性梗阻性脑积水可在发病后任何时间发生。尽管急性短暂性梗阻性脑积水的延迟表现不常见，但重要的是要意识到这种情况，并确保不会发生血栓迁移和随后的梗阻性脑积水导致的病情恶化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe2a/3722471/e07a1e4f1b26/jcn-9-192-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe2a/3722471/0f80aea50f1a/jcn-9-192-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe2a/3722471/71fee49286f9/jcn-9-192-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe2a/3722471/ac62b802734f/jcn-9-192-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe2a/3722471/e07a1e4f1b26/jcn-9-192-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe2a/3722471/0f80aea50f1a/jcn-9-192-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe2a/3722471/71fee49286f9/jcn-9-192-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe2a/3722471/ac62b802734f/jcn-9-192-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fe2a/3722471/e07a1e4f1b26/jcn-9-192-g004.jpg

相似文献

1
Transient Obstructive Hydrocephalus due to Intraventricular Hemorrhage: A Case Report and Review of Literature.特发性脑室出血性梗阻性脑积水 1 例报告并文献复习
J Clin Neurol. 2013 Jul;9(3):192-5. doi: 10.3988/jcn.2013.9.3.192. Epub 2013 Jul 1.
2
Recombinant tissue plasminogen activator in the treatment of intraventricular hemorrhage secondary to periventricular arteriovenous malformation before surgery: case report.重组组织型纤溶酶原激活剂在术前治疗脑室周围动静脉畸形继发脑室内出血中的应用：病例报告
Neurosurgery. 2003 Apr;52(4):964-8; discussion 968-9. doi: 10.1227/01.neu.0000053028.06474.c6.
3
Intraventricular Hemorrhage in Adults.成人脑室内出血
Curr Treat Options Neurol. 1999 Jul;1(3):173-178. doi: 10.1007/s11940-999-0001-0.
4
Third ventricle World Health Organization Grade II meningioma presenting with intraventricular hemorrhage and obstructive hydrocephalus: A case report and literature review.第三脑室世界卫生组织二级脑膜瘤伴脑室内出血和梗阻性脑积水：一例报告及文献复习
Surg Neurol Int. 2019 Apr 24;10:73. doi: 10.25259/SNI-90-2019. eCollection 2019.
5
Risk factors for hydrocephalus requiring external ventricular drainage in patients with intraventricular hemorrhage.脑室内出血患者需行脑室外引流的脑积水危险因素。
J Neurosurg. 2015 Dec;123(6):1439-46. doi: 10.3171/2015.1.JNS142391. Epub 2015 Jul 17.
6
Tailor-Made Endoscopic Surgical Strategy for Severe Intraventricular Hemorrhage with Obstructive Hydrocephalus.针对伴有梗阻性脑积水的重度脑室内出血的定制化内镜手术策略。
World Neurosurg. 2021 Jun;150:e771-e776. doi: 10.1016/j.wneu.2021.03.142. Epub 2021 Apr 2.
7
Endoscopic third ventriculostomy for obstructive hydrocephalus due to intraventricular hemorrhage.内镜下第三脑室造瘘术治疗因脑室内出血导致的梗阻性脑积水。
J Neurol Surg A Cent Eur Neurosurg. 2015 Mar;76(2):99-111. doi: 10.1055/s-0034-1382778. Epub 2014 Jul 21.
8
Endoscopic third ventriculostomy for obstructive hydrocephalus due to intracranial hemorrhage with intraventricular extension.内镜第三脑室造瘘术治疗伴有脑室内扩展的颅内出血所致梗阻性脑积水。
J Neurosurg. 2009 Dec;111(6):1119-26. doi: 10.3171/2009.4.JNS081149.
9
Delayed endoscopic intraventricular hemorrhage (IVH) removal and endoscopic third ventriculostomy may not prevent consecutive communicating hydrocephalus if IVH removal was insufficient.如果脑室内出血清除不充分，延迟性内镜下脑室内出血清除术和内镜下第三脑室造瘘术可能无法预防连续性交通性脑积水。
Minim Invasive Neurosurg. 2007 Aug;50(4):209-11. doi: 10.1055/s-2007-985873.
10
A new protocol to treat moderate to severe intraventricular hemorrhage with obstructive hydrocephalus.一种治疗伴有梗阻性脑积水的中重度脑室内出血的新方案。
Neurol Res. 2014 Nov;36(11):955-61. doi: 10.1179/1743132814Y.0000000378. Epub 2014 Apr 30.

引用本文的文献

1
Transient obstruction of aqueduct of sylvius: rare case of spontaneously resolving acute hydrocephalus.中脑导水管短暂梗阻：自发性缓解的急性脑积水罕见病例。
Acta Neurol Belg. 2023 Apr;123(2):731-733. doi: 10.1007/s13760-022-02074-0. Epub 2022 Aug 30.
2
Transient ventriculoperitoneal shunt malfunction in a pediatric patient: An illustrative case.一名儿科患者的短暂性脑室腹腔分流术故障：一个示例病例。
Surg Neurol Int. 2022 Jan 5;13:6. doi: 10.25259/SNI_636_2021. eCollection 2022.
3
Use of flexible endoscopic aspiration for an intraventricular small floating clot with hemorrhage: a technical note.

本文引用的文献

1
Rapid resolution of hydrocephalus due to simultaneous movements of hematoma in the trigono-occipital horn and the aqueduct.由于三角枕角和导水管内血肿的同步移动导致脑积水快速消退。
Neurol India. 2009 May-Jun;57(3):357-8. doi: 10.4103/0028-3886.53275.
2
Acute post-traumatic hydrocephalus in an infant due to aqueductal obstruction by a blood clot: a case report.婴儿因血凝块阻塞导水管导致急性创伤后脑积水：一例报告
Childs Nerv Syst. 2009 Mar;25(3):373-6. doi: 10.1007/s00381-008-0750-1. Epub 2008 Dec 5.
3
Utility of multislice computed tomography and reformatted images: identification of migratory intraventricular clot exacerbating obstructive hydrocephalus.
使用软性内镜抽吸术治疗伴有出血的脑室内小漂浮血块：技术说明
Neurosurg Rev. 2021 Aug;44(4):2363-2367. doi: 10.1007/s10143-020-01392-2. Epub 2020 Sep 19.
多层螺旋计算机断层扫描及重组图像的作用：识别加重梗阻性脑积水的移动性脑室内血栓。
J Neurosurg. 2008 Jul;109(1):156-8. doi: 10.3171/JNS/2008/109/7/0156.
4
Resolving obstructive hydrocephalus from AVM.解决动静脉畸形导致的梗阻性脑积水。
J Clin Neurosci. 2001 Nov;8(6):569-70. doi: 10.1054/jocn.2000.0843.
5
Spontaneous resolution of acute obstructive hydrocephalus in the neonate.新生儿急性梗阻性脑积水的自然消退
Childs Nerv Syst. 2001 Feb;17(3):182-4. doi: 10.1007/s003810000386.
6
Pathology of post meningitic hydrocephalus.脑膜炎后脑积水的病理学
Indian J Pediatr. 1997 Nov-Dec;64(6 Suppl):30-3.
7
Transient hydrocephalus due to movement of a clot plugging the aqueduct.因堵塞导水管的血凝块移动导致的短暂性脑积水。
Comput Med Imaging Graph. 1997 Nov-Dec;21(6):351-3. doi: 10.1016/s0895-6111(97)00028-1.
8
Aqueductal blood clot as a cause of acute hydrocephalus in subarachnoid hemorrhage.导水管血凝块作为蛛网膜下腔出血中急性脑积水的一个病因
AJNR Am J Neuroradiol. 1996 Jun-Jul;17(6):1183-6.
9
Acute transient hydrocephalus in carbon monoxide poisoning: a case report.一氧化碳中毒所致急性短暂性脑积水：一例报告
J Neurol Neurosurg Psychiatry. 1993 May;56(5):567-8. doi: 10.1136/jnnp.56.5.567-a.
10
Fibrinolytic activity of the cerebrospinal fluid after subarachnoid haemorrhage.
Acta Neurol Scand. 1973;49(1):1-9. doi: 10.1111/j.1600-0404.1973.tb01274.x.