Andrews R T, Koci T M
Department of Radiology, Harbor-UCLA Medical Center, Torrance 90509, USA.
AJNR Am J Neuroradiol. 1995 Jun-Jul;16(6):1312-5.
A patient who underwent lumbar spine surgery sustained an occult dural injury. After unrecognized suction drainage of cerebrospinal fluid through a surgical drain, caudal herniation of the cerebellum with superior cerebellar infarction developed. This mechanism should be considered in patients in whom acute mental status changes develop after spinal surgery.
一名接受腰椎手术的患者发生了隐匿性硬脊膜损伤。在通过手术引流管未被识别地抽吸脑脊液后,出现了小脑尾端疝伴小脑上梗死。对于脊柱手术后出现急性精神状态改变的患者,应考虑这种机制。