一例多房性脑积水病例。
A Case of Multiloculated Hydrocephalus.
作者信息
Thavara Binoy D, Rajagopalawarrier Bijukrishnan, Kidangan Geo S
机构信息
Department of Neurosurgery, Government Medical College, Thrissur, Kerala, India.
出版信息
J Pediatr Neurosci. 2020 Oct-Dec;15(4):426-431. doi: 10.4103/jpn.JPN_80_19. Epub 2021 Jan 19.
Multiloculated hydrocephalus (MLH) is a disease in which no single treatment has shown to be superior to others. The authors report a pediatric case of postmeningitic MLH diagnosed at the age of 3 months. It was treated with antibiotics and right ventriculoperitoneal (VP) shunt. At 10 months of age, the patient again presented with gross MLH and non-functioning shunt tube. Patient underwent endoscopic fenestration of the multiple cysts along with endoscopic-guided left VP shunt. At 1 year of age, the patient again presented with MLH with large right-sided cyst. Patient again underwent right VP shunt. The child improved in postoperative period and hence discharged. Pediatric MLH is a neurosurgical challenge. The prognosis is guarded and it is not possible to assure the parents regarding the cure of the disease. Decision of treatment options is difficult since there is no end to the treatment of many such cases. Neuroendoscopy has a definite role in MLH.
多房性脑积水（MLH）是一种尚未有单一治疗方法被证明优于其他方法的疾病。作者报告了一例3个月大时被诊断为脑膜炎后多房性脑积水的儿科病例。该病例接受了抗生素治疗和右侧脑室腹腔（VP）分流术。在10个月大时，患者再次出现严重的多房性脑积水且分流管失去功能。患者接受了多个囊肿的内镜开窗术以及内镜引导下的左侧VP分流术。在1岁时，患者再次出现多房性脑积水并伴有右侧大囊肿。患者再次接受了右侧VP分流术。患儿术后病情好转并出院。小儿多房性脑积水是一项神经外科挑战。预后情况不容乐观，无法向家长保证该病能够治愈。由于许多此类病例的治疗没有尽头，因此治疗方案的决策很困难。神经内镜在多房性脑积水中具有明确的作用。
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