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颅骨在脑脊液动力学中的重要性：1例减压性颅骨切除术后脑室扩大和皮瓣下陷综合征

Importance of Calvaria in Cerebrospinal Fluid Dynamics: A Case of Ventriculomegaly and Sinking Flap Syndrome after Decompressive Craniectomy.

作者信息

Garg Ravi, Aggarwal Ashish, Salunke Pravin

机构信息

Department of Neurosurgery, Post Graduate Institute of Medical Education and Research, Chandigarh, India.

出版信息

Asian J Neurosurg. 2018 Jan-Mar;13(1):128-129. doi: 10.4103/1793-5482.175631.

DOI:10.4103/1793-5482.175631
PMID:29492142
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5820867/
Abstract

Sinking flap syndrome and hydrocephalus are well-known complications of decompressive craniectomy. The underlying pathogenesis and management of these complications are still unclear. We present a case of hydrocephalus and recurrent sinking flap syndrome following decompressive craniectomy. We highlight the pivotal role of calvaria in the management of these complications.

摘要

颅骨瓣下陷综合征和脑积水是去骨瓣减压术后众所周知的并发症。这些并发症的潜在发病机制和治疗方法仍不明确。我们报告一例去骨瓣减压术后发生脑积水和复发性颅骨瓣下陷综合征的病例。我们强调颅骨在这些并发症治疗中的关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e75c/5820867/0c26c7fff4f3/AJNS-13-128-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e75c/5820867/0c26c7fff4f3/AJNS-13-128-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e75c/5820867/0c26c7fff4f3/AJNS-13-128-g001.jpg

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本文引用的文献

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Symptomatic contralateral subdural hygromas after decompressive craniectomy: plausible causes and management protocols.减压性颅骨切除术后有症状的对侧硬脑膜下积液：可能的原因及处理方案
J Neurosurg. 2015 Mar;122(3):602-9. doi: 10.3171/2014.10.JNS14780. Epub 2014 Dec 12.
2
Sinking skin flap syndrome with delayed dysautonomic syndrome-An atypical presentation.伴有迟发性自主神经功能障碍综合征的皮肤瓣下陷综合征——一种非典型表现。
Int J Surg Case Rep. 2013;4(11):1007-9. doi: 10.1016/j.ijscr.2013.08.013. Epub 2013 Sep 8.
3
Comparative Study of Outcomes between Shunting after Cranioplasty and in Cranioplasty after Shunting in Large Concave Flaccid Cranial Defect with Hydrocephalus.
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J Korean Neurosurg Soc. 2008 Oct;44(4):211-6. doi: 10.3340/jkns.2008.44.4.211. Epub 2008 Oct 30.
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Surgical complications secondary to decompressive craniectomy in patients with a head injury: a series of 108 consecutive cases.颅脑损伤患者减压性颅骨切除术后的手术并发症：108例连续病例系列
Acta Neurochir (Wien). 2008 Dec;150(12):1241-7; discussion 1248. doi: 10.1007/s00701-008-0145-9. Epub 2008 Nov 13.
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Postoperative hydrocephalus in patients undergoing decompressive hemicraniectomy for ischemic or hemorrhagic stroke.因缺血性或出血性卒中接受去骨瓣减压术患者的术后脑积水
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