Qiu Shenzhong, You Wendong, Wang Hao, Zhou Xi, Yang Xiaofeng
Department of Neurosurgery, The First People's Hospital of Fuyang District of Hangzhou City.
Department of Neurosurgery, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou.
J Craniofac Surg. 2019 May/Jun;30(3):e241-e243. doi: 10.1097/SCS.0000000000005192.
Cranioplasty is a common procedure in neurosurgical practice. However, some complications may occur after the operation. We here presented a case of bilateral skull defect and underwent cranioplasty with polyetheretherketone (PEEK) prosthesis. The patient developed epidural effusion on both sides 7 days after surgery. The effusion was light yellow and transparent, and laboratory examinations revealed normal glucose level, negative bacteriological results, and increased IgG protein concentration. The effusion disappeared after treatment with dexamethasone and drainage. We speculated that the epidural effusion was because of delayed type allergic reactions after PEEK cranioplasty. However, further studies are needed to investigate its related mechanisms.
颅骨成形术是神经外科手术中的常见操作。然而，术后可能会出现一些并发症。我们在此报告一例双侧颅骨缺损病例，该患者接受了聚醚醚酮（PEEK）假体颅骨成形术。患者术后7天出现双侧硬膜外积液。积液呈淡黄色且透明，实验室检查显示葡萄糖水平正常，细菌学检查结果为阴性，IgG蛋白浓度升高。经地塞米松治疗及引流后积液消失。我们推测硬膜外积液是由于PEEK颅骨成形术后的迟发型过敏反应所致。然而，需要进一步研究来探讨其相关机制。
