Shibata S, Fukushima M, Jinnouchi T, Mori K
Department of Neurosurgery, Nagasaki University School of Medicine, Japan.
No Shinkei Geka. 1987 Jul;15(7):791-5.
We reported five cases of lateral ventricle tumors all of which developed severe brain edema between 9 days and 8 years after surgery. Follow-up study with serial computed tomography before and after surgery were presented. Based on a review of the literature, a possible causal mechanism is suggested: 1) The cerebrospinal fluid diffuses into the white matter through the surgically damaged ependyma and caused severe postoperative edema; and 2) surgical blockade of the flow of cerebral interstitial fluid to drain into the fenestrated vessels of the choroid plexus and other periventricular areas caused severe postoperative edema.
我们报告了5例侧脑室肿瘤病例，所有病例均在术后9天至8年期间出现严重脑水肿。文中展示了术前及术后通过连续计算机断层扫描进行的随访研究。基于文献回顾，提出了一种可能的因果机制：1）脑脊液通过手术损伤的室管膜扩散至白质，导致严重的术后水肿；2）手术阻断了脑间质液流入脉络丛及其他脑室周围区域的有孔血管，引起严重的术后水肿。
