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Brain herniation in a neonate.新生儿脑疝。
Singapore Med J. 2010 Oct;51(10):e166-8.
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Reversible uncal herniation in a neonate with a large MCA infarct.一名患有大脑中动脉大面积梗死的新生儿出现可逆性小脑幕切迹疝。
Brain Dev. 2009 Nov;31(10):763-5. doi: 10.1016/j.braindev.2008.11.003. Epub 2008 Dec 18.
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Subgaleal hemorrhage with dural tear and parietal-lobe herniation in association with a vacuum extraction.
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Neonatal meningitis. A clinical and pathological study of 29 cases.新生儿脑膜炎。29例临床与病理研究。
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Postasphyxial cerebral survival in newborn sheep after treatment with oxygen free radical scavengers and a calcium antagonist.用氧自由基清除剂和钙拮抗剂治疗后新生绵羊的窒息后脑存活情况。
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Brain swelling in the asphyxiated term newborn: pathogenesis and outcome.
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缺氧缺血性脑病继发新生儿小脑幕切迹疝：病例报告及文献综述

Neonatal coning secondary to hypoxic ischaemic encephalopathy: A case study and literature review.

作者信息

Soliman Yasser, Yusuf Kamran, Blayney Marc, El Shahed Amr I, Belik Jaques

机构信息

Division of Neonatology, Department of Pediatrics, Hospital for Sick Children, School of Medicine, University of Toronto, Toronto, Ontario.

Section of Neonatology, Department of Pediatrics, University of Calgary, Calgary, Alberta.

出版信息

Paediatr Child Health. 2019 Nov 25;26(2):e67-e69. doi: 10.1093/pch/pxz138. eCollection 2021 Apr-May.

DOI:10.1093/pch/pxz138
PMID:33747312
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7962716/
Abstract

INTRODUCTION

Brain herniation is an extremely rare complication of hypoxic ischaemic encephalopathy (HIE) in the neonatal period with only a single report described. We report a 2-day-old term infant with severe HIE, who developed diffuse brain oedema and herniation.

CASE PRESENTATION AND DESCRIPTION

A term female infant delivered by vacuum, required therapeutic hypothermia for severe encephalopathy. At 36 hours of age, a marked change in neurological status was noted with signs of brainstem involvement. A head Computed Tomography Scan showed uncal and tonsillar herniation.

CONCLUSION

Vigilance in monitoring neonatal neurological status during therapeutic hypothermia is imperative for early brain herniation detection.

摘要

引言

脑疝是新生儿缺氧缺血性脑病（HIE）极为罕见的并发症，仅有一篇报道。我们报告一例2日龄足月儿，患有重度HIE，出现弥漫性脑水肿和脑疝。

病例介绍与描述

一名经真空吸引分娩的足月儿女婴，因重度脑病接受治疗性低温治疗。36小时龄时，发现神经状态有显著变化，伴有脑干受累体征。头颅计算机断层扫描显示钩回和扁桃体疝。

结论

在治疗性低温治疗期间，密切监测新生儿神经状态对于早期发现脑疝至关重要。