Haber Matthew A, Abd-El-Barr Muhammad, Gormley William, Mukundan Srinivasan, Sodickson Aaron D, Potter Christopher A
Department of Radiology, Brigham and Women's Hospital, 75 Francis Street, Boston, MA, 02115, USA.
Harvard Medical School, Boston, MA, USA.
Emerg Radiol. 2019 Jun;26(3):331-340. doi: 10.1007/s10140-019-01672-5. Epub 2019 Feb 13.
Visits to the emergency department by patients who have recently undergone neurosurgery are a common occurrence, and these patients frequently receive emergent cross-sectional head imaging in order to evaluate for complications. Different neurosurgical approaches may have typical postoperative imaging findings that can be confused with pathology. Furthermore, particular abnormal postoperative imaging findings may signal an evolving complication. It is essential for the radiologist to understand common neurosurgical procedures and their potential complications in order to provide proper diagnostic evaluation of the postoperative neurosurgical patient. The purpose of this review is to assist radiologists in the evaluation of the postoperative neurosurgical patient and educate them on associated complications. Familiarity with common neurosurgical techniques and postoperative complications will help radiologists make the correct diagnosis, communicate effectively with the neurosurgeon, and expedite patient care.
近期接受过神经外科手术的患者前往急诊科就诊很常见，这些患者经常接受急诊头颅横断面成像以评估并发症。不同的神经外科手术入路可能有典型的术后影像学表现，这些表现可能与病变相混淆。此外，特定的术后异常影像学表现可能预示着并发症的进展。放射科医生必须了解常见的神经外科手术及其潜在并发症，以便对术后神经外科患者进行正确的诊断评估。本综述的目的是帮助放射科医生评估术后神经外科患者，并就相关并发症对他们进行教育。熟悉常见的神经外科技术和术后并发症将有助于放射科医生做出正确诊断，与神经外科医生有效沟通，并加快患者护理。
