胶样囊肿切除术后迟发性脑积水：病例报告。
Delayed hydrocephalus after excision of a colloid cyst: a case report.
机构信息
Department of Anesthesiology, University of North Carolina, N2198, CB #7010, Chapel Hill, NC, 27599-7010, USA.
Department of Neurosurgery, University of North Carolina, Chapel Hill, NC, USA.
出版信息
J Med Case Rep. 2022 Jun 7;16(1):226. doi: 10.1186/s13256-022-03453-0.
BACKGROUND
In this case report we describe an unusual case of a patient who underwent resection of a colloid cyst and then presented 6 weeks postoperatively with obstructive hydrocephalus. There appear to be no prior reports of such a delayed complication after colloid cyst resection.
CASE PRESENTATION
A 50-year-old Caucasian woman underwent resection of a colloid cyst with an uncomplicated perioperative course. Postoperative imaging demonstrated complete resection of the cyst. She was discharged home on postoperative day 4 but presented 6 weeks later with symptoms of obstructive hydrocephalus resulting in poor neurologic outcome and ultimately death.
CONCLUSION
Patients presenting with symptoms of hydrocephalus after resection of a colloid cyst should be followed closely, and timely placement of an external ventricular drain may be critical.
背景
在本病例报告中，我们描述了一例罕见的患者，该患者在接受胶样囊肿切除术后 6 周出现梗阻性脑积水。似乎没有胶样囊肿切除术后出现这种延迟并发症的先前报告。
病例介绍
一名 50 岁白人女性接受了胶样囊肿切除术，围手术期过程顺利。术后影像学显示囊肿完全切除。她在术后第 4 天出院，但在 6 周后出现梗阻性脑积水的症状，导致神经功能预后不良，最终死亡。
结论
切除胶样囊肿后出现脑积水症状的患者应密切随访，及时放置外部脑室引流可能至关重要。
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