Intradiploic cerebrospinal fluid fistulas of iatrogenic origin. Report of two cases.
Intradiploic cerebrospinal fluid fistulas of iatrogenic origin. Report of two cases.
复制标题
医源性四板内脑脊液瘘。
DOI：
10.3171/ped.2006.104.5.356
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发表时间：
2006
影响因子：
4.1
通讯作者：
M. Souweidane
中科院分区：
文献类型：
--
作者：
D. Placantonakis;E. Lis;M. Souweidane
板障内脑脊液（CSF）收集是头部创伤或神经外科手术的罕见并发症。它们的形成被认为部分取决于脑膜和邻接神经轴的内皮质骨的破坏。作者介绍了两例涉及神经外科手术后板障CSF采集的儿科病例。在第一个病例中，在枕下颅骨切除术后9年，在枕骨和颞骨岩部发现CSF瘘。第二个病例的特点是椎板切除术后9年在胸椎内发生脑脊液瘘的情况非常罕见。两名患者均成功接受了瘘管修复手术。
Intradiploic cerebrospinal fluid (CSF) collections represent a rare complication of either head trauma or neurosurgical procedures. Their formation is thought to depend partly on violation of the meninges and the inner cortical bone abutting the neuraxis. The authors present two pediatric cases involving diploic CSF collections following neurosurgical interventions. In the first case, a CSF fistula was found within the occipital bone and the petrous portion of the temporal bone 9 years after a suboccipital craniectomy. The second case features the extremely rare occurrence of a CSF fistula within a thoracic vertebra, 9 years after a laminectomy. Both patients underwent successful surgical procedures for repair of the fistulas.