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先天性梗阻性脑积水伴内镜下第三脑室造瘘术后双侧硬膜下积液和气颅:一例报告

Congenital Obstructive Hydrocephalus With Status Post-endoscopic Third Ventriculostomy Bilateral Subdural Hygroma and Pneumocephalus: A Case Report.

作者信息

Desai Sakshi, Sharath H V

机构信息

Department of Pediatric Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Aug 2;16(8):e65982. doi: 10.7759/cureus.65982. eCollection 2024 Aug.

DOI:10.7759/cureus.65982
PMID:39221364
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11366071/
Abstract

Pediatric neurosurgery faces a major difficulty in the treatment of hydrocephalus, a condition marked by an abnormal build-up of cerebrospinal fluid (CSF) in the brain. Its prevalence varies between 0.5 and 0.8 per 1,000 live births worldwide, with different etiologies, including congenital abnormalities and acquired diseases. With benefits including a lower risk of infection and avoiding issues due to the shunt, endoscopic third ventriculostomy (ETV) has become a beneficial surgical technique in certain instances. Bypassing clogged ventricular channels, ETV creates a new channel for CSF drainage. Despite its effectiveness, a thorough examination of underlying disease and anatomical variables is necessary for positive outcomes in patient selection. To give patients, the best possible care, this article attempts to summarize the prevalence of hydrocephalus and the part that ETV plays in managing it. It also emphasizes the significance of customized surgical techniques. It is critical to comprehend the incidence of hydrocephalus and available treatment choices to enhance the infant's quality of life and long-term outcomes.

摘要

小儿神经外科在治疗脑积水方面面临重大困难,脑积水是一种以脑脊液(CSF)在脑内异常积聚为特征的病症。其全球发病率在每1000例活产儿中为0.5至0.8例,病因各异,包括先天性异常和后天性疾病。内镜下第三脑室造瘘术(ETV)具有感染风险较低以及避免分流相关问题等优点,在某些情况下已成为一种有益的外科技术。ETV绕过堵塞的脑室通道,为脑脊液引流创建一个新通道。尽管其有效,但为了在患者选择中取得良好结果,对潜在疾病和解剖学变量进行全面检查是必要的。为了给患者提供尽可能好的护理,本文试图总结脑积水的发病率以及ETV在治疗中的作用。它还强调了定制手术技术的重要性。了解脑积水的发病率和可用治疗选择对于提高婴儿的生活质量和长期预后至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9662/11366071/2677bf75ac5d/cureus-0016-00000065982-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9662/11366071/2677bf75ac5d/cureus-0016-00000065982-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9662/11366071/2677bf75ac5d/cureus-0016-00000065982-i01.jpg

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本文引用的文献

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Childs Nerv Syst. 2024 Apr;40(4):1045-1052. doi: 10.1007/s00381-023-06225-3. Epub 2023 Nov 27.
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Endoscopic third ventriculostomy versus ventriculoperitoneal shunt insertion for the management of pediatric hydrocephalus in African centers - A systematic review and meta-analysis.非洲中心内镜下第三脑室造瘘术与脑室腹腔分流术治疗小儿脑积水的系统评价和荟萃分析
Surg Neurol Int. 2022 Oct 14;13:467. doi: 10.25259/SNI_747_2022. eCollection 2022.
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Hydrocephalus: historical analysis and considerations for treatment.
脑积水:历史分析与治疗思考。
Eur J Med Res. 2022 Sep 1;27(1):168. doi: 10.1186/s40001-022-00798-6.
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J Neurosurg Pediatr. 2022 May 6;30(1):18-30. doi: 10.3171/2022.3.PEDS21512. Print 2022 Jul 1.
5
Endoscopic Third Ventriculostomy - A Review.内镜第三脑室造瘘术——综述。
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