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创伤后脑积水:分类、诊断、治疗及治疗后影像学评估概述

Post-traumatic hydrocephalus: An overview of classification, diagnosis, treatment, and post-treatment imaging evaluation.

作者信息

Li Zhao, Zhang Han, Hu Guojie, Zhang Guohai

机构信息

Department of Neurosurgery, Shengzhou Hospital of Traditional Chinese Medicine, Shengzhou City, Zhejiang Province 312400, China.

Department of Neurosurgery, Shengzhou People's Hospital, Shengzhou City, Zhejiang Province 312400, China.

出版信息

Brain Res Bull. 2023 Dec;205:110824. doi: 10.1016/j.brainresbull.2023.110824. Epub 2023 Nov 22.

Abstract

The syndrome of post-traumatic hydrocephalus (PTH) has been recognized since Dandy's report in 1914. The pathogenesis of PTH has not been fully clarified. At present, it is believed that the obstacles of cerebrospinal fluid (CSF) secretion, absorption and circulation pathways are the reasons for the development of PTH. However, recent studies have also suggested that the osmotic pressure load of CSF and the pathological changes of CSF dynamics are caused by the development of hydrocephalus. Therefore, a better understanding of the definition, classification, diagnostic criteria, treatment, and evaluation of post-treatment effects of PTH is critical for the effective prevention and treatment of PTH. In this paper, we reviewed the classification and diagnosis of PTH and focused on the treatment and the imaging evaluation of post-treatment effects of PTH. This review might provide a judgment criterion for diagnosis of PTH and a basis for the effective prevention and treatment of PTH in the future.

摘要

自1914年丹迪(Dandy)报告以来,创伤后脑积水(PTH)综合征已被人们认识。PTH的发病机制尚未完全阐明。目前,人们认为脑脊液(CSF)分泌、吸收及循环途径的障碍是PTH发生发展的原因。然而,最近的研究也表明,脑积水的发展会导致脑脊液的渗透压负荷及脑脊液动力学的病理变化。因此,更好地理解PTH的定义、分类、诊断标准、治疗方法以及治疗后效果评估,对于有效预防和治疗PTH至关重要。在本文中,我们回顾了PTH的分类与诊断,并重点关注了PTH的治疗及治疗后效果的影像学评估。这篇综述可能为PTH的诊断提供判断标准,并为未来有效预防和治疗PTH提供依据。

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