眼内硅油迁移至脑室酷似脑室内出血：病例报告及文献复习
Intraocular Silicone Oil Migration into the Ventricles Resembling Intraventricular Hemorrhage: Case Report and Review of the Literature.
作者信息
Filippidis Aristotelis S, Conroy Taylor J, Maragkos Georgios A, Holsapple James W, Davies Keith G
机构信息
Division of Neurosurgery, Beth Israel Deaconess Medical Center, Harvard Medical School Affiliate, Boston, Massachusetts, USA; Department of Neurosurgery, Boston Medical Center, Boston, Massachusetts, USA.
Boston University School of Medicine, Boston, Massachusetts, USA.
出版信息
World Neurosurg. 2017 Jun;102:695.e7-695.e10. doi: 10.1016/j.wneu.2017.03.131. Epub 2017 Apr 4.
BACKGROUND
Intracranial silicone migration is a rare complication of ocular silicone oil endotamponade and may resemble intraventricular hemorrhage. The etiology of the phenomenon is challenging to understand.
CASE DESCRIPTION
In an effort to shed light on this phenomenon, we report a case of a 67-year-old woman with ocular silicone oil endotamponade on the left eye due to retinal detachment who presented with headache to the emergency department. The imaging work-up revealed intraventricular silicone oil migration.
CONCLUSIONS
The literature is reviewed through the perspective of pathophysiology. The migration of intraocular silicone oil into the ventricular system provides both an important complication for clinicians to be aware of, as well as a paradigm reminding us that cerebrospinal fluid spaces may have more extensive communications with other body compartments than previously thought.
背景
颅内硅油迁移是眼内硅油填充术的一种罕见并发症，可能类似脑室内出血。这种现象的病因难以理解。
病例描述
为了阐明这一现象，我们报告一例67岁女性，因视网膜脱离行左眼眼内硅油填充术，因头痛到急诊科就诊。影像学检查发现脑室内硅油迁移。
结论
从病理生理学角度对文献进行了综述。眼内硅油迁移至脑室系统，这不仅是临床医生需要注意的重要并发症，也是一个范例，提醒我们脑脊液间隙与其他身体腔隙之间的连通可能比之前认为的更为广泛。
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