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小脑疝和梗死作为隐匿性术后腰椎硬脊膜缺损的并发症。

Cerebellar herniation and infarction as a complication of an occult postoperative lumbar dural defect.

作者信息

Andrews R T, Koci T M

机构信息

Department of Radiology, Harbor-UCLA Medical Center, Torrance 90509, USA.

出版信息

AJNR Am J Neuroradiol. 1995 Jun-Jul;16(6):1312-5.

Abstract

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.

摘要

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。

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