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首页 CSF假性囊肿

CSF假性囊肿.pdf

CSF假性囊肿

yonggan
2013-11-12 0人阅读 举报 0 0 0 暂无简介

简介:本文档为《CSF假性囊肿pdf》,可适用于自然科学领域

RESIDENTFELLOWSECTIONSectionEditorMitchellSVElkind,MD,MSJeffreyForrisBeechamChick,MDNikunjRashmikantChauhan,MDKatherineMarieMullen,MDNiravVikramKamdar,MDBhartiKhurana,MDCorrespondencetoDrChick:jchickpartnersorgTeachingNeuroImages:MassiveabdominalCSFomaAyearoldwomanwithcongenitalhydrocephalusstatuspostventriculoperitonealshuntplacementyearsearlierpresentedwithabdominaldistentionThepatientdeniedfever,headache,orsensoryormotorabnormalitiesExaminationwasnotableforatenseabdomenCToftheabdomenandpelvisdemonstratedamassive,loculated,CSFoma,orCSFpseudocyst(figure)Ventriculoperitonealshuntsareassociatedwithavarietyofcomplicationsincludingdisruptionofthetube,obstructionofthetip,infection,intestinalperforation,tipmigration,andCSFomadevelopmentCSFomaisararecomplication,thoughttobecausedbylowgradeshuntinfection,chronicinflammation,increasedCSFprotein,orperitonealadhesions,andisestimatedtooccurintoofcases,withatypicaloccurrencewithinweekstoyearsofshuntplacement,TreatmentconsistsofexternaldrainageorsurgicalexcisionfollowedbyreconstructionoftheshuntsystemAUTHORCONTRIBUTIONSAllauthorscontributedequallytothecreationofthetext,preparationoftheimages,andrevisionofthemanuscriptSTUDYFUNDINGNotargetedfundingreportedDISCLOSURETheauthorsreportnodisclosuresrelevanttothemanuscriptGotoNeurologyorgforfulldisclosuresREFERENCESBessonR,HladkyJP,DhellemmesP,DebeugnyPPeritonealpseudocyst:ventriculoperitonealshuntcomplicationsEurJPediatrSurg:–RainovN,SchobessA,HeideckeV,BurkertWAbdominalCSFpseudocystinpatientswithventriculoperitonealshunts:reportoffourteencasesandreviewoftheliteratureActaNeurochir:–ColeyBD,ShielsWE,EltonS,MurakamiJW,HoganMJSonographicallyguidedaspirationofcerebrospinalfluidpseudocystsinchildrenandadolescentsAJRAmJRoentgenol:–HahnYS,EngelhardM,McLoneDGAbdominalCSFpseudocyst:clinicalfeaturesandsurgicalmanagementPediatrNeurosci–:–FigureImaging(A)Coronaland(B)sagittalimagesfromCToftheabdomenandpelviswithIVcontrastmaterialdemonstratingthecourseofaventriculoperitonealshuntcatheterwithamassive,cm,loculated,CSFoma,orCSFpseudocyst,surroundingtheventriculoperitonealshuntcatheter(arrowheads)FromtheDepartmentofRadiology(JFBC,NRC,KMM,BK),BrighamandWomen’sHospital,HarvardMedicalSchoolandDepartmentofAnesthesia,CriticalCareandPainMedicine(NVK),MassachusettsGeneralHospital,HarvardMedicalSchool,Boston,MAe©AmericanAcademyofNeurologyªAmericanAcademyofNeurologyUnauthorizedreproductionofthisarticleisprohibited

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