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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.

DOI:10.1017/s0317167100047673
PMID:8334573
Abstract

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.

摘要

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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1
Abducens palsy following shunting for hydrocephalus.脑积水分流术后的展神经麻痹。
Can J Neurol Sci. 1993 May;20(2):123-5. doi: 10.1017/s0317167100047673.
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Transient abducens paresis after shunting for hydrocephalus. Report of two cases.
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[Normal-pressure hydrocephalus in adults. Analysis of results and complications following ventriculo-cardiac derivation].[成人常压性脑积水。脑室-心脏分流术后结果及并发症分析]
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Unveiling the vulnerability of the human abducens nerve: insights from comparative cranial base anatomy in mammals and primates.揭示人类展神经的脆弱性:来自哺乳动物和灵长类动物颅底比较解剖学的见解。
Front Neuroanat. 2024 Apr 29;18:1383126. doi: 10.3389/fnana.2024.1383126. eCollection 2024.
2
Abducens nerve palsy after lumbar spinal fusion surgery with inadvertent dural tearing.腰椎融合手术后因意外硬脑膜撕裂导致的展神经麻痹。
J Korean Neurosurg Soc. 2009 Dec;46(6):581-3. doi: 10.3340/jkns.2009.46.6.581. Epub 2009 Dec 31.
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Eye problem following foot surgery--abducens palsy as a complication of spinal anesthesia.
足部手术后的眼部问题——外展神经麻痹作为脊髓麻醉的并发症
MedGenMed. 2005 Oct 17;7(4):15.
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Wernicke-Korsakoff syndrome.韦尼克-科尔萨科夫综合征
Postgrad Med J. 1997 Jan;73(855):27-31. doi: 10.1136/pgmj.73.855.27.