大脑动静脉畸形手术期间因对侧急性硬膜下血肿导致的难治性脑肿胀

Intractable brain swelling during cerebral arteriovenous malformation surgery due to contralateral acute subdural haematoma.

作者信息

Khandelwal Ankur, Chaturvedi Arvind, Singh Gyaninder Pal, Mishra Rajeeb Kumar

机构信息

Department of Neuroanaesthesiology and Critical Care, All India Institute of Medical Sciences, New Delhi, India.

出版信息

Indian J Anaesth. 2018 Dec;62(12):984-987. doi: 10.4103/ija.IJA_491_18.

DOI:10.4103/ija.IJA_491_18

PMID:30636801

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6299763/

Abstract

Severe brain swelling during routine neurosurgery can herald serious consequences. Failure to control brain swelling despite adequate measures warns of a surgical cause and should be dealt efficiently. We report a case of an adult female who developed intraoperative acute subdural haematoma (SDH) and consequent intractable brain swelling during surgery of supratentorial arteriovenous malformation (AVM). Such a manifestation of contralateral acute SDH during supratentorial AVM surgery has not been reported earlier.

摘要

常规神经外科手术期间出现的严重脑肿胀可能预示着严重后果。尽管采取了适当措施但仍无法控制脑肿胀，提示存在手术原因，应予以有效处理。我们报告一例成年女性病例，该患者在幕上动静脉畸形（AVM）手术期间发生术中急性硬膜下血肿（SDH）及随之而来的顽固性脑肿胀。幕上AVM手术期间对侧急性SDH的这种表现此前未见报道。