胸椎神经节神经瘤切除术后持续性蛛网膜下腔-胸膜脑脊液瘘。病例报告)。

A Trammer
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引用次数: 6

摘要

在切除胸椎神经节神经瘤的过程中,在第4/5节肋交界处应用骨蜡止血静脉出血,导致术后第4天下肢瘫痪。在CT扫描诊断后,由于应用骨蜡而造成的髓受压直接得到缓解。术后采用肌瓣成形术和纤维蛋白粘接剂缝合持续存在的蛛网膜下胸膜瘘。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Persistent subarachnoid-pleural cerebrospinal fluid fistula following excision of a thoracic ganglioneuroma. Case report].

During extirpation of a thoracic ganglioneuroma, haemostasis of venous haemorrhage by application of bone wax close to the costovertebral junction at Th 4/5 resulted in plegia of the lower extremities on the fourth postoperative day. Compression of the myelon due to the applied bone wax was relieved directly after CT scan diagnosis. In the postoperative course, a persisting subarachnoidal pleural fistula was closed by means of muscle flap plasty and fibrin adhesive.

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