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四脑室脑积水中分流故障相关的全脊髓脊膜膨出。

Holocord Syrinx Associated with Shunt Malfunction in Tetraventricular Hydrocephalus.

机构信息

Department of Neurosciences, Department of Neurosurgery, Santobono-Pausilipon Children's Hospital, Naples, Italy; Department of Neurosurgery, Umberto I General Hospital, Università Politecnica delle Marche, Ancona, Italy.

Department of Neurosciences, Department of Neurosurgery, Santobono-Pausilipon Children's Hospital, Naples, Italy; Department of Neurosurgery, Umberto I General Hospital, Università Politecnica delle Marche, Ancona, Italy.

出版信息

World Neurosurg. 2020 Jul;139:382-386. doi: 10.1016/j.wneu.2020.04.158. Epub 2020 Apr 27.

DOI:10.1016/j.wneu.2020.04.158
PMID:32348890
Abstract

We present an uncommon case of holocord, "rosary bead-like," multiloculated syringomyelia consistent with a fourth ventricle outlet obstruction in a 2-month-old infant who was previously shunted for posthemorrhagic hydrocephalus of prematurity. The shunt malfunction resulted in a syringomyelia because of the simultaneous obstruction of the 3 outlets of the fourth ventricle, resulting in an enlargement of the central canal of the spinal cord. The syringomyelia resolved with shunt revision, avoiding further complex surgical procedures.

摘要

我们呈现了一例罕见的全脊髓“念珠状”多房性脊髓空洞症病例,该病例与一名 2 个月大的婴儿相关,该婴儿先前因早产儿出血性脑积水接受了分流术,而此次病例是由于第四脑室的 3 个出口同时阻塞导致分流故障,从而引起脊髓中央管扩张,进而导致脊髓空洞症。通过对分流管进行修正,该婴儿的脊髓空洞症得到了解决,避免了进一步的复杂手术。

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