Verma Satish Kumar, Satyarthee Guru Dutta, Singh Pankaj Kumar, Sharma Bhawani Shankar
Department of Neurosurgery and Gamma Knife, All India Institute of Medical Sciences, New Delhi, India.
J Pediatr Neurosci. 2013 Sep;8(3):207-9. doi: 10.4103/1817-1745.123666.
The presence of torcula or sinus in the occipital encephalocele presents a challenge during surgery. However, a detailed study of magnetic resonance image and magnetic resonance venography can aid in preoperative localization of the torcula. Knowing the encephalocele's contents, its relationship with falx cerebri and falx cerebelli, and vigilance during surgery is a sure way to protect neural tissue. Visual Evoked Potential (VEP) may be indicated in torcular encephalocele. Here, authors report two such cases, one presented with ruptured encephalocele with cerebrospinal fluid leak and another case presented six months after birth due to financial constraints. Pertinent literature and management is briefly reviewed.
枕部脑膨出中存在窦汇或静脉窦给手术带来了挑战。然而,对磁共振成像和磁共振静脉造影进行详细研究有助于术前定位窦汇。了解脑膨出的内容物、其与大脑镰和小脑镰的关系以及手术过程中的警惕性是保护神经组织的可靠方法。视觉诱发电位(VEP)可能适用于窦汇型脑膨出。在此,作者报告两例此类病例,一例为脑膨出破裂伴脑脊液漏,另一例因经济限制在出生后六个月就诊。对相关文献和治疗方法进行简要综述。