SERIOUS COMPLICATIONS OF MICROVASCULAR DECOMPRESSION OPERATIONS FOR TRIGEMINAL NEURALGIA AND HEMIFACIAL SPASM

SERIOUS COMPLICATIONS OF MICROVASCULAR DECOMPRESSION OPERATIONS FOR TRIGEMINAL NEURALGIA AND HEMIFACIAL SPASM
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DOI:
10.1227/00006123-198802000-00012
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发表时间:
1988-02-01
期刊:
影响因子:
4.8
通讯作者:
KONDO, A
KONDO, A
中科院分区:
医学1区
文献类型:
--
作者:
HANAKITA, J;KONDO, A

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本文报告了三叉神经痛或面肌痉挛微血管减压术的严重并发症。278例微血管减压术中发生严重并发症9例,其中小脑内血肿合并急性脑积水1例,小脑肿胀合并急性脑积水1例,幕上急性硬膜下血肿1例,癫痫持续状态2例,脑干梗塞1例,外伤性动脉瘤蛛网膜下腔出血1例,大脑后动脉梗塞1例。发生并发症的9例患者中,2例死亡。对严重并发症的可能原因进行了讨论。
Serious complications of microvascular decompression operations for trigeminal neuralgia or hemifacial spasm are reported. Among 278 patients who underwent microvascular decompression, 9 serious complications were observed: 1 intracerebellar hematoma with acute hydrocephalus, 1 cerebellar swelling with acute hydrocephalus, 1 supratentorial acute subdural hematoma, 2 status epilepticus, 1 infarction of the brain stem, 1 subarachnoid hemorrhage due to traumatic aneurysm, and 1 infarction in the territory of the posterior cerebral artery. Of the 9 patients with such complications, 2 died. The possible causes of such serious complications are discussed.