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中华神经创伤外科电子杂志 ›› 2023, Vol. 09 ›› Issue (06) : 378 -380. doi: 10.3877/cma.j.issn.2095-9141.2023.06.011

病例报告

脑室-腹腔分流术后脑脓肿一例报道并文献复习
陈浪, 陈玉静, 肖恺, 陈阳, 邵强(), 潘力, 胡飞, 王焕明, 陈俊, 徐豪   
  1. 430015 武汉,长江航运总医院/武汉脑科医院神经外科
    528051 佛山,广州中医药大学第八临床医学院(附属佛山中医院)
  • 收稿日期:2023-08-03 出版日期:2023-12-15
  • 通信作者: 邵强
  • 基金资助:
    交通运输部长江航务管理局2023年重点科技项目(2023-CHKJ-023)

Treatment of cerebral abscess after ventriculoperitoneal shunt operation: a case report and literature review

Lang Chen, Yujing Chen, Kai Xiao   

  • Received:2023-08-03 Published:2023-12-15
引用本文:

陈浪, 陈玉静, 肖恺, 陈阳, 邵强, 潘力, 胡飞, 王焕明, 陈俊, 徐豪. 脑室-腹腔分流术后脑脓肿一例报道并文献复习[J]. 中华神经创伤外科电子杂志, 2023, 09(06): 378-380.

Lang Chen, Yujing Chen, Kai Xiao. Treatment of cerebral abscess after ventriculoperitoneal shunt operation: a case report and literature review[J]. Chinese Journal of Neurotraumatic Surgery(Electronic Edition), 2023, 09(06): 378-380.

脑室-腹腔(ventriculo-peritoneal,V-P)分流术是将一组带单向阀门的分流装置植入体内,将脑脊液从脑室分流到腹腔中吸收,是治疗脑积水最常用的分流手术[1]。目前关于V-P分流术后发生脑脓肿报道较少,长江航运总医院神经外科于2022年12月收治1例V-P分流术后脑脓肿患者,现将该患者的诊治经过结合文献复习作一报道。

图1 脑室-腹腔分流术后脑脓肿患者的头部影像学资料A:入院时头部CT示分流管周围见多发低密度影;B:入院后3 d头部MRI增强示分流管周围多发环状强化灶;C:抗感染治疗2周后复查头部MRI增强示分流管周围环形强化灶缩小;D:出院后半年随访复查头部MRI增强示分流管周围强化灶消失
Fig.1 Head imaging data of patients with brain abscess after ventriculo-peritoneal shunt surgery
表1 10例脑室-腹腔分流术后脑脓肿患者的临床资料
Tab.1 Clinical data of 10 patients with brain abscess after ventriculo-peritoneal shunt surgery
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