摘要
目的探讨婴儿低颅压脑积水(LPH)的临床特征、发病机制和治疗策略。方法回顾性分析3例婴儿LPH患者,3例患儿均采用可调压分流管行侧脑室腹腔分流术(VPS)进行治疗,观察治疗后颅内压、脑室、临床特征的变化情况。结果 3例患儿术后随访3~24个月后,反应迟钝、智力低下等脑功能障碍症状明显好转;CT/MRI复查显示,扩大脑室回缩。结论采用可调压分流管行VPS可能是治疗婴儿LPH的有效措施。
Objective To explore the clinical features,pathogenesis and the treatment strategy of infants with Low pressure hydrocephalus(LPH).Methods 3 infants with LPH were allocated.Ventriculo-peritoneal shunt(VPS)with pressure-adjustable valves was adopted to treat the infants,The changes of intracranial pressure,ventricle and clinical features were observed after treatment.Results 3 infants were followed up for 3 to 24 months.The brain dysfunction was obviously improved and the enlarged ventricles retracted in 3 infants.Conclusion VPS with pressure-adjustable may be effective in the treatment of infants with LPH.
作者
董辉
马云富
杨波
谌婧
刘金瑜
李振涛
DONG Hui;MA Yunfu;YANG Bo;CHEN Jing;LIU J inyu;LI Zhengtao() Neurosurgery Department, Third Affiliated Hospital of Zhengzhou University ,Zhengzhou 450052 ,China;) Department of Neurosurgery ,First AJfiliated Hospital of Zhengzhou University, Zhengzhou 450000, China)
出处
《中国实用神经疾病杂志》
2018年第9期984-986,共3页
Chinese Journal of Practical Nervous Diseases
基金
河南省卫计委科技攻关项目
编号:201602129
关键词
婴儿
低颅压脑积水
侧脑室腹腔分流术
可调压分流管
脑出血
Infant
Low pressure hydrocephalus
Ventriculo-peritoneal shunt
Pressure adjustable valves
Cerebral hemorrhage