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内镜鼻窦手术后张力性气颅导致脑疝形成。

Tension pneumocephalus causing brain herniation after endoscopic sinus surgery.

作者信息

Çelikoğlu Erhan, Hazneci Jülide, Ramazanoğlu Ali Fatih

机构信息

Department of Neurosurgery, Neurosurgery Clinic, Ministry of Health, Fatih Sultan Mehmet Education and Research Hospital, Istanbul, Turkey.

出版信息

Asian J Neurosurg. 2016 Jul-Sep;11(3):309-10. doi: 10.4103/1793-5482.179646.

DOI:10.4103/1793-5482.179646
PMID:27366266
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4849308/
Abstract

Endoscopic sinus surgery (ESS) may rarely be complicated by intracranial complications; the most common of them is a cerebrospinal fluid fistula. Pneumocephalus as a complication of ESS is quite rare. Here, we presented a unique case of tension pneumocephalus causing brain herniation as a complication of ESS, to whom emergent craniotomy was performed.

摘要

鼻内镜鼻窦手术（ESS）极少会并发颅内并发症；其中最常见的是脑脊液瘘。作为ESS并发症的气颅相当罕见。在此，我们报告了1例独特的因ESS并发症导致脑疝的张力性气颅病例，并对其进行了急诊开颅手术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7471/4849308/e7ec37886af0/AJNS-11-309b-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7471/4849308/e7ec37886af0/AJNS-11-309b-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7471/4849308/e7ec37886af0/AJNS-11-309b-g001.jpg

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本文引用的文献

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Am J Otolaryngol. 2013 Nov-Dec;34(6):749-52. doi: 10.1016/j.amjoto.2013.07.011. Epub 2013 Sep 12.
2
Tension pneumocephalus: an uncommon cause of altered mental status.张力性气颅：意识状态改变的罕见原因。
J Emerg Med. 2013 Feb;44(2):340-3. doi: 10.1016/j.jemermed.2012.01.055. Epub 2012 Apr 14.
3
Treatment of pneumocephalus after endoscopic sinus and microscopic skull base surgery.内镜鼻窦和显微镜颅底手术后气颅的治疗。
颈椎手术后的张力性气颅：一例病例报告并文献复习
J Neurol Surg Rep. 2018 Oct;79(4):e88-e92. doi: 10.1055/s-0038-1676298. Epub 2018 Nov 30.
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Tension pneumocephalus from skull base surgery: A case report and review of the literature.颅底手术所致张力性气颅：一例病例报告及文献综述
Surg Neurol Int. 2018 Jul 4;9:128. doi: 10.4103/sni.sni_91_18. eCollection 2018.
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