Lundborg Mina, Helseth Eirik, Josefsen Roger, Braathen Martin, Skogen Karoline, Ramm-Pettersen Jon
Department of Neurosurgery, Oslo University Hospital, Oslo, Norway.
Faculty of Medicine, University of Oslo, Oslo, Norway.
Acta Neurochir (Wien). 2018 Jul;160(7):1401-1405. doi: 10.1007/s00701-018-3537-5. Epub 2018 Apr 26.
A case with cerebral venous air embolism (CVAE) after neurosurgery and treated with hyperbaric oxygen therapy (HBOT) is presented. This is a rare and potentially fatal complication that neurosurgeons should be aware of. A 52-year-old male was diagnosed with an intracerebral hematoma. An emergency evacuation of the hematoma was performed with a craniotomy and the postoperative CT scan showed a complete evacuation of the hematoma, but it also revealed a CVAE. The patient was immediately referred to HBOT and received three sessions within 48 h. The CT scan after the first HBOT showed no CVAE, venous thrombosis, or new hematoma.
本文报告了1例神经外科手术后发生脑静脉空气栓塞（CVAE）并接受高压氧治疗（HBOT）的病例。这是一种罕见且可能致命的并发症，神经外科医生应予以关注。一名52岁男性被诊断为脑内血肿。通过开颅手术对血肿进行了紧急清除，术后CT扫描显示血肿已完全清除，但也显示存在CVAE。患者立即被转诊接受HBOT治疗，并在48小时内接受了3个疗程的治疗。首次HBOT治疗后的CT扫描显示无CVAE、静脉血栓形成或新的血肿。
