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硅胶的颅内迁移延误挽救生命的手术治疗:一种酷似出血的情况。

Intracranial Migration of Silicone Delaying Life Saving Surgical Management: A Mimicker of Hemorrhage.

作者信息

Sarohia Dani, Javan Ramin, Aziz Salim

机构信息

Department of Radiology, George Washington University Hospital, Washington D.C., USA.

Department of Cardiothoracic Surgery, George Washington University Hospital, Washington D.C., USA.

出版信息

J Radiol Case Rep. 2016 Aug 31;10(8):1-11. doi: 10.3941/jrcr.v10i8.2683. eCollection 2016 Aug.

Abstract

We present a case in which intraocular silicone injection for complex retinal detachment resulted in migration and distribution of silicone along the intracranial visual pathway, and ultimately throughout the ventricular system. Misinterpretation of this material as intracranial hemorrhage on outside computed tomography imaging delayed emergent repair of a Type A aortic dissection until the diagnosis was made on repeat imaging. A discussion of this case and salient computed tomography and magnetic resonance imaging characteristics of silicone is provided.

摘要

我们报告了一例因复杂性视网膜脱离进行眼内硅油注射后,硅油沿颅内视觉通路迁移并分布,最终遍布脑室系统的病例。在外部计算机断层扫描成像中将这种物质误判为颅内出血,导致A型主动脉夹层的紧急修复延迟,直到重复成像才做出诊断。本文提供了该病例的讨论以及硅油在计算机断层扫描和磁共振成像中的显著特征。

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本文引用的文献

1
Diffusion-weighted signal patterns of intracranial haemorrhage.颅内出血的扩散加权信号模式。
Clin Radiol. 2015 Aug;70(8):909-16. doi: 10.1016/j.crad.2015.04.006. Epub 2015 Jun 4.
2
Intracranial Migration of Intravitreal Silicone Oil: A Case Report.
Clin Neuroradiol. 2016 Mar;26(1):93-5. doi: 10.1007/s00062-015-0379-x. Epub 2015 Feb 27.
5
Intraventricular silicone oil.脑室内硅油。
J Neurosurg. 2013 May;118(5):1127-9. doi: 10.3171/2013.1.JNS121570. Epub 2013 Jan 25.
6
Anatomy and physiology of the afferent visual system.传入视觉系统的解剖学与生理学
Handb Clin Neurol. 2011;102:3-19. doi: 10.1016/B978-0-444-52903-9.00007-8.

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