[1]胡志刚　王汉东　王笑亮　张　安　李　桃　郭　宇.镰旁脑膜瘤术后静脉性脑梗死的临床特征及预防（附8例报道）[J].中国临床神经外科杂志,2019,(11):654-655.[doi:10.13798/j.issn.1009-153X.2019.11.005]
　HU Zhi-gang,WANG Han-dong,WANG Xiao-liang,et al.Clinical features and prevention of cerebral venous infarction after surgery in patients with parafalcine meningiomas (report of 8 cases)[J].,2019,(11):654-655.[doi:10.13798/j.issn.1009-153X.2019.11.005]
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镰旁脑膜瘤术后静脉性脑梗死的临床特征及预防（附8例报道）()
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《中国临床神经外科杂志》[ISSN:1009-153X/CN:42-1603/TN]

卷:
期数:
2019年11期
页码:
654-655
栏目:
论著
出版日期:
2019-11-25

文章信息/Info

Title:
Clinical features and prevention of cerebral venous infarction after surgery in patients with parafalcine meningiomas (report of 8 cases)
文章编号:
1009-153X（2019）11-0654-02
作者:
胡志刚　王汉东　王笑亮　张　安　李　桃　郭　宇
210002 南京，中国人民解放军东部战区总医院神经外科（胡志刚、王汉东、王笑亮、张　安、李　桃、郭　宇）
Author(s):
HU Zhi-gang;  WANG Han-dong;  WANG Xiao-liang;  ZHANG An;  LI Tao;  GUO Yu
Department of Neurosurgery, Jinling Hospital, Nanjing 210002, China
关键词:
镰旁脑膜瘤; 静脉性梗死; 手术
Keywords:
Parafalcine Meningiomas;  Cerebral Venous Infarction;  Surgery
分类号:
R 739.41; R 651.1+1
DOI:
10.13798/j.issn.1009-153X.2019.11.005
文献标志码:
A
摘要:
目的 探讨镰旁脑膜瘤术后静脉性脑梗死的临床特征及预防方法。方法 回顾性分析2009年1月至2018年12月收治的8例镰旁脑膜瘤术后静脉性脑梗死的临床资料。8例均再次行手术治疗，其中6例行单纯内减压术，2例行内减压术+去骨瓣减压术。结果 出院时，2例无明显后遗症状；3例存在偏瘫，其中2例伴失语；2例轻偏瘫；1例仍昏迷。结论 镰旁脑膜瘤术中静脉性损伤可导致灾难性后果，应当尽一切可能保留重要静脉。
Abstract:
Objective To explore the clinical features and prevention of postoperative cerebral venous infarction in patients with parafalcine meningiogmas. Methods The clinical data of 8 patients with cerebral venous infarction after resection of parafalcine meningiomas were analyzed retrospectively. Of these 8 patients who underwent surgery again, 6 received only intracerebral decompression and 2 intracerebral decompression and craniectomy. Results On discharge, 2 patients had no obvious sequelae, 2 hemiplegia and aphasia, 1 hemiplegia, 2 mild hemiplegia and 1 patient was still in coma. Conclusions The cerebral vein injury may cause catastrophic complications in a few patients. To avoid these complications, meticulous venous preservation should be performed in all the neurosurgical procedures.

参考文献/References:

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备注/Memo

备注/Memo:
通讯作者：王汉东，E-mail：njhdwang@hotmail.com（2019-06-26收稿，2019-09-05修回）
更新日期/Last Update: 2019-11-20