Mahapatra A K, Tandon P N, Dhawan I K, Khazanchi R K
Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi.
Childs Nerv Syst. 1994 Nov;10(8):501-4. doi: 10.1007/BF00335071.
Thirty cases of anterior encephalocele treated in our centre over an 18-year period (from 1973 to 1990) are presented. At the time of surgery over 60% of the patients were under the age of 2 years, and 40% were aged under 1 year. Only one child was over 10 years of age. Twenty-six patients had the fronto-ethmoidal type of defect, while two each had frontonasal- and naso-orbital-type lesions. Twenty-five children had varying degrees of hypertelorism. Four had an enlarged head and four microcephaly. In 26 patients one-stage repair of the encephalocele and reconstruction of the orbits was undertaken. A ventriculoperitoneal shunt was performed prior to definitive surgery in three patients with gross hydrocephalus. There was no postoperative mortality. Six patients had postoperative CSF rhinorrhoea, three of them requiring a lumboperitoneal shunt. This study highlights the role of one-stage repair of this defect.
本文介绍了我们中心在18年期间（1973年至1990年）治疗的30例前脑膨出病例。手术时，超过60%的患者年龄在2岁以下，40%的患者年龄在1岁以下。只有一名儿童超过10岁。26例患者为额筛型缺损，2例为鼻额型和鼻眶型病变。25名儿童有不同程度的眶距增宽。4例头增大，4例小头畸形。26例患者进行了脑膨出一期修复和眼眶重建。3例有严重脑积水的患者在确定性手术前进行了脑室腹腔分流术。无术后死亡病例。6例患者术后发生脑脊液鼻漏，其中3例需要行腰大池腹腔分流术。本研究强调了该缺损一期修复的作用。
