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病例报告：脑深部电刺激术后出血性静脉梗死可能因硬脑膜内静脉凝固所致

A Case Report: Hemorrhagic Venous Infarction after Deep Brain Stimulation Surgery Probably Due to Coagulation of Intradural Veins.

作者信息

Tani Naoki, Yaegaki Takahide, Kishima Haruhiko

机构信息

Department of Neurosurgery, Osaka University Graduate School of Medicine, Suita, Osaka, Japan.

Department of Neurosurgery, Osaka General Medical Center, Osaka, Osaka, Japan.

出版信息

NMC Case Rep J. 2021 Jun 23;8(1):315-318. doi: 10.2176/nmccrj.cr.2020-0305. eCollection 2021.

DOI:10.2176/nmccrj.cr.2020-0305
PMID:35079481
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8769402/
Abstract

Hemorrhagic venous infarction secondary to deep brain stimulation (DBS) surgery occurs rarely and can cause delayed intracranial hemorrhage. Venous cerebral infarction after DBS surgery is commonly caused by coagulation of the superficial cerebral veins, which usually produces transient symptoms but leaves no permanent sequelae. We report a case of hemorrhagic venous infarction resulting in severe sequelae, likely due to coagulation of the lateral venous lacuna during DBS surgery.

摘要

深部脑刺激（DBS）手术继发的出血性静脉梗死很少见，可导致延迟性颅内出血。DBS手术后的静脉性脑梗死通常由大脑浅静脉凝固引起，通常产生短暂症状但无永久性后遗症。我们报告一例出血性静脉梗死导致严重后遗症的病例，可能是由于DBS手术期间外侧静脉陷窝凝固所致。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d56/8769402/068a39b75af4/nmccrj-8-315-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d56/8769402/1e296de54ed9/nmccrj-8-315-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d56/8769402/90fa4465589c/nmccrj-8-315-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d56/8769402/068a39b75af4/nmccrj-8-315-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d56/8769402/1e296de54ed9/nmccrj-8-315-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d56/8769402/90fa4465589c/nmccrj-8-315-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0d56/8769402/068a39b75af4/nmccrj-8-315-g003.jpg

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本文引用的文献

1
Cerebral venous infarction: a potentially avoidable complication of deep brain stimulation surgery.脑静脉梗死：深部脑刺激手术一种潜在可避免的并发症。
Neuromodulation. 2013 Sep-Oct;16(5):407-13; discussion 413. doi: 10.1111/ner.12052. Epub 2013 Jun 5.
2
Cadaveric dissection identifying the left superior anastomotic vein of Trolard communicating indirectly with the superior sagittal sinus via a lateral lacuna.尸体解剖发现左侧 Trolard 吻合静脉上属支，通过外侧腔隙间接与上矢状窦相通。
J Clin Neurosci. 2012 Feb;19(2):286-8. doi: 10.1016/j.jocn.2011.07.010. Epub 2011 Nov 10.
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Lateral lakes of Trolard: anatomy, quantitation, and surgical landmarks. Laboratory investigation.
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Risk factors for hemorrhage during microelectrode-guided deep brain stimulator implantation for movement disorders.用于运动障碍的微电极引导深部脑刺激器植入术中出血的危险因素。
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