脑积水分流术后的展神经麻痹。
Abducens palsy following shunting for hydrocephalus.
作者信息
Espinosa J A, Giroux M, Johnston K, Kirkham T, Villemure J G
机构信息
Division of Neurosurgery, Montreal Neurological Institute, McGill University, Quebec, Canada.
出版信息
Can J Neurol Sci. 1993 May;20(2):123-5. doi: 10.1017/s0317167100047673.
Over a period of 12 years, 80 patients underwent ventricular shunting for normal pressure hydrocephalus. Three developed sixth cranial nerve palsy in the first two weeks after surgery. This uncommon complication is usually transitory following the same pattern of abducens palsy after lumbar puncture or spinal anesthesia. Traction on the nerve with local ischemia has been involved as the responsible mechanism in both instances.
在12年的时间里，80例患者因正常压力脑积水接受了脑室分流术。其中3例在术后两周内出现了第六颅神经麻痹。这种罕见的并发症通常是短暂性的，与腰椎穿刺或脊髓麻醉后展神经麻痹的模式相同。在这两种情况下，神经受牵拉伴局部缺血被认为是其发病机制。
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