外伤性硬脑膜下积液损伤1例报告

Seung Bin Sung, Young Deok Kim, H. Jeong
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引用次数: 0

摘要

68岁的他被急救部门抢救后,一名路人发现他躺在路上,身上还带着一辆自行车。他被诊断为神经淋巴瘤,并通过右Kocher点进行了针对右侧脑室的Ommaya蓄水池化疗。他最初的精神状态很迟钝。颅脑CT显示多发创伤。入院后7天,双侧硬膜下水瘤(SDG)发生。我们进行了CT脑池造影。将对比剂直接注入Ommaya储层,获得CT图像。通过池造影,确定了Ommaya水库的对比泄漏点。患者接受了切除Ommaya储层和闭塞Ommaya储层永久通道的手术。本病例显示了一种罕见的外伤性SDG病因,并证明了CT脑池造影对确定植入物脑脊液渗漏的有效性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Traumatic Subdural Hygroma Due to Injury of an Ommaya Reservoir: A Case Report
68-year-old the emergency department after a passerby found him lying on the road with a bicycle. He had been diagnosed with neurolymphomatosis in and had an Ommaya reservoir targeted to the right lateral ventricle via the right Kocher’s point for chemotherapy. His initial mental status was stuporous. Brain computed tomography (CT) showed multiple traumatic injuries. Seven days after admission, bilateral subdural hygroma (SDG) developed. We performed CT cisternography. The contrast was directly injected into the Ommaya reservoir and CT images were obtained. On cisternography, contrast leakage points were identified from the Ommaya reservoir. The patient underwent surgery for Ommaya reservoir removal and occlusion of the permanent tract of the Ommaya reservoir. This case shows a rare etiology of traumatic SDG and demonstrates the usefulness of CT cisternography to determine cerebrospinal fluid leakage from an implant.
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