Willis J, Nadell J, Henderson-Tilton A
Department of Neurology, Tulane University School of Medicine, New Orleans, LA 70112.
Childs Nerv Syst. 1994 Apr;10(3):190-2. doi: 10.1007/BF00301089.
An infant with Chiari malformation developed respiratory distress due to progressive intrathoracic enlargement of multiple spinal meningeal diverticulae. Ventriculoperitoneal shunting of the associated hydrocephalus temporarily halted the expansion of the intrathoracic diverticulae and permanently relieved respiratory symptoms. The role of hydrostatic pressure in the enlargement of meningoceles and other spinal meningeal diverticulae is discussed. Ventriculoperitoneal shunting is suggested as a surgical alternative for the treatment of symptomatic meningoceles.
一名患有Chiari畸形的婴儿因多个脊髓脑脊膜憩室在胸腔内逐渐增大而出现呼吸窘迫。相关脑积水的脑室腹腔分流术暂时阻止了胸腔内憩室的扩大，并永久性缓解了呼吸症状。本文讨论了静水压在脊膜膨出和其他脊髓脑脊膜憩室扩大中的作用。建议采用脑室腹腔分流术作为治疗有症状脊膜膨出的手术替代方法。
