Kreitzer Natalie, Huynh Maggie, Foreman Brandon
Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH 45267, USA.
Department of Neurology and Rehabilitation Medicine, University of Cincinnati, Cincinnati, OH 45267, USA.
Brain Sci. 2018 Jan 12;8(1):14. doi: 10.3390/brainsci8010014.
Benign meningiomas uncommonly lead to significant cerebral edema, with only a few cases previously reported in the medical literature. The present study describes the case of a 49-year-old female who had a meningioma resection. She subsequently developed malignant cerebral edema and had episodes that were initially concerning for seizure activity. However, transient blood flow changes concerning for intracranial pressure (ICP) crises, were demonstrated on electroencephalogram (EEG) as well as noninvasive cerebral blood flow monitoring. The present case highlights the importance of close monitoring in patients with post meningioma resection cerebral edema because of the possibility of ICP crises.
良性脑膜瘤很少导致显著的脑水肿，医学文献中此前仅报道过少数病例。本研究描述了一名49岁女性接受脑膜瘤切除术的病例。她随后出现了恶性脑水肿，并出现了最初疑似癫痫发作的情况。然而，脑电图（EEG）以及无创脑血流监测显示，存在与颅内压（ICP）危机相关的短暂血流变化。本病例强调了对脑膜瘤切除术后脑水肿患者进行密切监测的重要性，因为存在ICP危机的可能性。
