经皮后凸成形术后脑空气栓塞：1例报告及机制和处理的系统回顾。

IF 1.9 4区医学 Q3 CLINICAL NEUROLOGY

World neurosurgery Pub Date : 2025-05-12 DOI:10.1016/j.wneu.2025.124074

Tianci Fang, Zhifang Xue, Lianda Yang, Zhaohui He, Huilin Yang, Hao Liu, Junxin Zhang, Feng Zhou

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引用次数: 0

摘要

背景：脑空气栓塞（CAE）是经皮后凸成形术（PKP）中一种罕见但危及生命的并发症。本研究结合文献回顾（2000-2023）和一个新病例，探讨CAE的发病机制和预防策略。病例介绍：84岁男性，pkp术后突然昏迷，颅脑CT证实为CAE。尽管高压氧治疗（HBOT），患者进展为植物人状态。结论：CAE需要紧急HBOT和细致的术中操作（如密闭密封）。术前协议驱动的管理可以降低风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Cerebral Air Embolism After Percutaneous Kyphoplasty: A Case Report and Systematic Review of Mechanisms and Management.

Background: Cerebral air embolism (CAE) is an exceptionally rare yet life-threatening complication of percutaneous kyphoplasty (PKP). This study integrates a literature review (2000-2023) with a novel case to explore CAE pathogenesis and preventive strategies.

Case presentation: An 84-year-old male developed sudden coma post-PKP, confirmed as CAE via cranial CT. Despite hyperbaric oxygen therapy (HBOT), the patient progressed to a vegetative state.

Conclusions: CAE necessitates urgent HBOT and meticulous intraoperative practices (e.g., airtight sealing). Preoperative protocol-driven management may mitigate risks.

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来源期刊

World neurosurgery CLINICAL NEUROLOGY-SURGERY

CiteScore

3.90

自引率

15.00%

发文量

1765

审稿时长

47 days

期刊介绍： World Neurosurgery has an open access mirror journal World Neurosurgery: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The journal''s mission is to: -To provide a first-class international forum and a 2-way conduit for dialogue that is relevant to neurosurgeons and providers who care for neurosurgery patients. The categories of the exchanged information include clinical and basic science, as well as global information that provide social, political, educational, economic, cultural or societal insights and knowledge that are of significance and relevance to worldwide neurosurgery patient care. -To act as a primary intellectual catalyst for the stimulation of creativity, the creation of new knowledge, and the enhancement of quality neurosurgical care worldwide. -To provide a forum for communication that enriches the lives of all neurosurgeons and their colleagues; and, in so doing, enriches the lives of their patients. Topics to be addressed in World Neurosurgery include: EDUCATION, ECONOMICS, RESEARCH, POLITICS, HISTORY, CULTURE, CLINICAL SCIENCE, LABORATORY SCIENCE, TECHNOLOGY, OPERATIVE TECHNIQUES, CLINICAL IMAGES, VIDEOS