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蛛网膜下腔出血相关性脑积水

Hydrocephalus associated with subarachnoid haemorrhage.

作者信息

Blaylock R L, Kempe L G

出版信息

Neurochirurgia (Stuttg). 1978 Jan;21(1):20-8. doi: 10.1055/s-0028-1090318.

Abstract

That blood in the subarachnoid space could possibly produce hydrocephalus was first suggested by Bagley in 1928 (3, 4). His conclusions were based on both experimental and clinical studies even though he actually failed to demonstrate a communicating hydrocephalus. Subsequent workers have repeatedly demonstrated leptomeningeal thickening associated with blood in the subarachnoid space from a variety of causes (8, 9). Recently neurosurgeons have become more aware of this pathological and clinical entity and have reported excellent results in patients treated soon after its recognition (5,9,16). We report a single case of post-subarachnoid haemorrhage hydrocephalus which we feel serves to emphasize the dramatic improvement which can follow treatment of the hydrocephalus.

摘要

蛛网膜下腔出血可能导致脑积水这一观点最早由巴格利在1928年提出(参考文献3, 4)。他的结论基于实验和临床研究,尽管他实际上未能证实交通性脑积水的存在。后来的研究者多次证明,由于各种原因,蛛网膜下腔出血会伴有软脑膜增厚(参考文献8, 9)。最近,神经外科医生对这种病理和临床实体有了更多认识,并报告称在确诊后不久就对患者进行治疗,取得了很好的效果(参考文献5, 9, 16)。我们报告了一例蛛网膜下腔出血后脑积水的病例,我们认为该病例有助于强调治疗脑积水后可能出现的显著改善。

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