Hidaka Toshikazu, Ikawa Fusao, Hamasaki Osamu, Kurokawa Yasuharu, Yonezawa Ushio, Kurisu Kaoru
Department of Neurosurgery, Shimane Prefectural Central Hospital, Izumo, Japan.
Department of Neurosurgery, Graduate School of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.
SAGE Open Med Case Rep. 2015 Mar 31;3:2050313X15578318. doi: 10.1177/2050313X15578318. eCollection 2015.
Reports on the trans-lamina terminalis and trans-third ventricular approach are rare. The risk associated with this approach is unknown. After an unsuccessful endovascular surgery, we performed direct surgical clipping via the third ventricle on a 78-year-old woman presenting with an extremely high-positioned, ruptured basilar tip aneurysm. She experienced transient hypothermia for 5 days, and it was considered that this was due to hypothalamic dysfunction. It is necessary to recognize that there is the potential for hypothermia after surgery via the lamina terminalis and third ventricle, even though the mechanisms of hypothalamic thermoregulation are still unclear.
关于经终板和经第三脑室入路的报道很少。这种入路相关的风险尚不清楚。在血管内手术失败后，我们对一名78岁患有极高位置破裂基底动脉尖动脉瘤的女性患者，经第三脑室进行了直接手术夹闭。她经历了5天的短暂体温过低，据认为这是由于下丘脑功能障碍所致。尽管下丘脑体温调节机制仍不清楚，但有必要认识到经终板和第三脑室手术后存在体温过低的可能性。
