Kaar G F, Briggs M, Bashir S H
Department of Neurosurgery, Aberdeen Royal Infirmary, Oxford, UK.
Br J Neurosurg. 1994;8(6):703-7. doi: 10.3109/02688699409101184.
A postsurgical pseudomeningocoele (PSPM) forms when cerebrospinal fluid extravasates through a dura-arachnoidal tear and becomes encysted within the wound. Patients may become symptomatic with wound swelling, headache and radiculopathy. A uniform method of repairing PSPMs is described which includes separation of the dura from the arachnoid, dural repair under operating microscope control, and the use of overlapped local flaps to reinforce the dura and obliterate the PSPM sac. Four recent cases are presented which were successfully treated using this method.
术后假性脑脊膜膨出（PSPM）是指脑脊液通过硬脑膜 - 蛛网膜撕裂处渗出并在伤口内形成囊肿时形成的。患者可能会出现伤口肿胀、头痛和神经根病等症状。本文描述了一种修复PSPM的统一方法，包括将硬脑膜与蛛网膜分离、在手术显微镜控制下进行硬脑膜修复，以及使用重叠的局部皮瓣加强硬脑膜并消除PSPM囊。本文介绍了最近成功使用该方法治疗的4例病例。
