因感染性囊肿-腹腔分流术后瘢痕挛缩导致的脊柱侧凸：病例报告并文献复习。
Scoliosis due to scar contracture caused by infection after cyst-peritoneal shunt: a case report and literature review.
机构信息
Department of Neurosurgery, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Department of Pediatric Surgery, The Second Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
出版信息
Childs Nerv Syst. 2023 Jul;39(7):1889-1893. doi: 10.1007/s00381-023-05931-2. Epub 2023 Mar 23.
BACKGROUND
Cyst-peritoneal (CP) shunt is one of the most common methods for the treatment of intracranial arachnoid cysts (ACs). Infection is a common postoperative complication. We report a patient with scoliosis due to scar contracture caused by infection after CP shunt.
CASE DESCRIPTION
A 12-year-old boy underwent CP shunt surgery for the left frontoparietotemporal AC when he was 2 years old. At the age of 7 years, he underwent a shunt catheter removal procedure because of the infection caused by the fistula leading from the subcutaneous tunnel to the body surface. However, contracture of the subcutaneous scar from fistula infection caused scoliosis and limited range of motion of the right arm. At the age of 12, the patient received scar lysis and his symptoms improved.
CONCLUSION
We presented the first case of scoliosis due to scar contracture caused by infection after CP shunt. In this case, timely release of scar tissue can effectively correct scoliosis and limb movement limitation.
背景
囊-腹腔（CP）分流术是治疗颅内蛛网膜囊肿（AC）最常用的方法之一。感染是常见的术后并发症。我们报告了一例因 CP 分流术后感染导致瘢痕挛缩引起的脊柱侧凸的患者。
病例描述
一名 12 岁男孩在 2 岁时因左额顶颞部 AC 行 CP 分流术，7 岁时因皮下隧道通向体表的瘘管引起感染而行分流管取出术。然而，瘘管感染导致的皮下瘢痕挛缩引起脊柱侧凸和右臂活动受限。12 岁时，患者接受了瘢痕松解术，症状得到改善。
结论
我们报告了首例 CP 分流术后感染导致瘢痕挛缩引起的脊柱侧凸。在本例中，及时松解瘢痕组织可有效矫正脊柱侧凸和肢体运动受限。
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