颈管内哑铃型神经鞘瘤切除术后脑脊液漏并发颅内血肿及宫颈感染1例报告并文献复习。

IF 2.2 3区 医学 Q2 ORTHOPEDICS
Zhen-Shan Yuan, Lian-Song Lu, Yong Hu
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引用次数: 0

摘要

背景:出血性脑梗死合并宫颈感染是脊柱外科手术中一种严重而复杂的并发症。本文报告一例颈椎哑铃瘤术后继发脑脊液漏颅内血肿。病例介绍:患者术后出现脑脊液漏,并发出血性脑梗死、单侧肢体感觉运动功能障碍和语言功能障碍,予以保守治疗。结合宫颈感染,采用消炎加腰椎穿刺引流治疗。患者感染治愈,出血性脑梗死相关症状好转。结果:本例颈椎哑铃瘤术后出现脑脊液漏,引起出血性脑梗死,临床症状典型。结论:宫颈哑铃瘤术后发生脑脊液流失时,应注意颅内出血和宫颈感染的危险。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cerebrospinal fluid leakage complicated by intracranial hematoma and cervical infection following resection of dumbbell schwannoma in the cervical canal: a case report and literature review.

Background: Haemorrhagic cerebral infarction with cervical infection is a severe and complex complication in spinal surgery. This paper report a case of intracranial hematoma secondary to cerebrospinal fluid leakage after surgery for dumbbell tumor of cervical spine.

Case presentations: The patient suffered from postoperative cerebrospinal fluid leakage followed by hemorrhagic cerebral infarction, unilateral limb sensorimotor dysfunction and language dysfunction, and was treated conservatively. Combined with cervical infection, the treatment was anti-inflammatory and lumbar puncture drainage. The infection of the patient was cured, and the symptoms related to hemorrhagic cerebral infarction were better than before.

Results: The case showed cerebrospinal fluid leakage after the operation of dumbbell tumor of cervical spine, which caused hemorrhagic cerebral infarction with typical clinical symptoms.

Conclusions: The risk complications of intracranial hemorrhage and cervical infection should be paid attention to when cerebrospinal fluid loss occurs in patients with cervical dumbbell tumor after surgery.

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来源期刊
BMC Musculoskeletal Disorders
BMC Musculoskeletal Disorders 医学-风湿病学
CiteScore
3.80
自引率
8.70%
发文量
1017
审稿时长
3-6 weeks
期刊介绍: BMC Musculoskeletal Disorders is an open access, peer-reviewed journal that considers articles on all aspects of the prevention, diagnosis and management of musculoskeletal disorders, as well as related molecular genetics, pathophysiology, and epidemiology. The scope of the Journal covers research into rheumatic diseases where the primary focus relates specifically to a component(s) of the musculoskeletal system.
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