椎基底动脉延长扩张症继发梗阻性脑积水和面神经麻痹：病例报告
Obstructive hydrocephalus and facial nerve palsy secondary to vertebrobasilar dolichoectasia: Case Report.
作者信息
Mohammed Kazim, Iqbal Javeed, Kamel Hussein, Mathew John, Al-Sulaiti Ghanem
机构信息
Department of Neurosurgery, Hamad General Hospital, Doha, Qatar.
Department of Radiology, Hamad General Hospital, Doha, Qatar.
出版信息
Surg Neurol Int. 2018 Mar 7;9:60. doi: 10.4103/sni.sni_37_17. eCollection 2018.
BACKGROUND
Symptomatic hydrocephalus due to vertebrobasilar dolichoectasia is a rare occurrence.
CASE DESCRIPTION
We report a patient who presented with acute confusion and vomiting. Neuroimaging revealed elongated and tortuous basilar artery indenting and elevating the floor of third ventricle causing obstructive hydrocephalus. Initially, the patient was treated with external ventricular drain and then with ventriculo-peritoneal shunt.
CONCLUSION
We suggest prompt surgical intervention upon diagnosis as a first choice of treatment in order to avoid further complications.
背景
椎基底动脉迂曲扩张导致的症状性脑积水较为罕见。
病例描述
我们报告一例出现急性意识模糊和呕吐的患者。神经影像学检查显示基底动脉延长迂曲，压迫并抬高第三脑室底部，导致梗阻性脑积水。该患者最初接受了脑室外引流治疗，随后进行了脑室-腹腔分流术。
结论
我们建议一旦诊断明确，应立即进行手术干预，作为首选治疗方法，以避免进一步的并发症。
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