小脑梗死所致急性梗阻性脑积水。治疗选择。

Acute obstructive hydrocephalus caused by cerebellar infarction. Treatment alternatives.

作者信息

Horwitz N H, Ludolph C

出版信息

Surg Neurol. 1983 Jul;20(1):13-9. doi: 10.1016/0090-3019(83)90099-x.

Abstract

The treatment alternatives for the patient who becomes comatose following nontraumatic infarction of the cerebellum are discussed. The acute hydrocephalus produced by the swollen cerebellum is readily diagnosed by computed tomography scan and is identified as a hypodense mass without contrast medium uptake that obliterates the fourth ventricle. Two typical cases are described, one managed medically and one surgically. All available reports in the world literature of similar patients treated surgically are reviewed. Based on the outcome analysis of the foregoing, a strategy is offered for the handling of future cases.

摘要

本文讨论了非创伤性小脑梗死致昏迷患者的治疗选择。小脑肿胀引起的急性脑积水可通过计算机断层扫描轻易诊断，表现为无造影剂摄取的低密度肿块，压迫第四脑室。文中描述了两个典型病例，一个采用内科治疗，另一个采用外科治疗。同时回顾了世界文献中所有关于类似患者手术治疗的报道。基于上述结果分析，为未来病例的处理提供了一种策略。