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首页> 外文期刊>Acta Neurochirurgica >Sagittal sinus thrombosis with malignant brain oedema: Pathophysiology of cortical veins after decompressive craniectomy
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Sagittal sinus thrombosis with malignant brain oedema: Pathophysiology of cortical veins after decompressive craniectomy

机译:矢状窦血栓形成伴恶性脑水肿:减压颅骨切除术后皮质静脉的病理生理学

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摘要

A few years ago the first reports were published of decom-pressive trepanation to treat sinus vein thrombosis with malignant cerebral oedema [6, 7, 10]. Several studies have shown good outcomes, even in patients with severe clinical conditions [2, 5, 8, 9]. These results encourage the use of decompressive surgery as a life-saving procedure in selected patients. We report for the first time perfusion of the cortical veins before and after decompressive trepanation as seen on computed tomography (CT). These pathophysiological observations may explain in part the often good functional outcome after surgery.
机译:几年前,有关减压性栓塞治疗恶性脑水肿的窦静脉血栓形成的第一批报道[6,7,10]。几项研究显示出了良好的结果,即使在患有严重临床疾病的患者中也是如此[2,5,8,9]。这些结果鼓励在某些患者中使用减压手术作为挽救生命的方法。我们首次报告了减压层析术前后的皮质静脉灌注,如计算机断层扫描(CT)所示。这些病理生理学观察结果可能部分解释了手术后通常良好的功能结局。

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