Bartels L, Luk L J, Balis G, Bald C
Am J Otol. 1985 Nov;Suppl:121-5.
We present three cases of endaural brain hernia and a method of repair using sculptured mastoid cortical bone. The literature is reviewed to illustrate etiology, pathology, clinical presentation, and management options of this uncommon clinical entity. We classify the hernias as pedunculated or sessile, with associated factors such as viability of herniated brain, infection, CSF leak, and neurologic complications. A management scheme is proposed encompassing surgical options now available and their attendant risks and complications.
我们介绍了三例耳内脑疝病例以及一种使用雕刻的乳突皮质骨进行修复的方法。回顾文献以阐明这种罕见临床病症的病因、病理、临床表现及治疗选择。我们将脑疝分为带蒂型或无蒂型，并列出相关因素，如疝出脑组织的活力、感染、脑脊液漏及神经并发症。我们提出了一种治疗方案，涵盖现有的手术选择及其伴随的风险和并发症。
