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雑誌文献

Neurological Surgery 脳神経外科48巻1号

2020年01月発行

文献概要

症例

頭蓋底部多発瘻孔に起因する髄液鼻漏に対して修復術を行った1例

著者: 伊藤裕平1 神宮字伸哉1 佐藤拓1 村上友太1 藤井正純1 佐久間潤1 齋藤清1

所属機関: 1福島県立医科大学脳神経外科

ページ範囲:P.55 - P.62

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Ⅰ.はじめに
 外傷や腫瘍,医療行為などに関連しない特発性髄液鼻漏は,頻度こそ高くはないものの,時に漏出部位が複数箇所にわたることが報告されている10,17).外科治療では経鼻内視鏡的に修復術を行うことが比較的多いが,漏出部位の同定が困難な場合や他部位から再度漏出する可能性もあり,再発することも少なくない10).今回,頭蓋底部に複数の瘻孔を有した特発性髄液鼻漏に対して2度の手術を行った症例を報告する.

参考文献

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9) Rastatter JC, Walz PC, Alden TD:Pediatric skull base reconstruction:case report of a tunneled temporoparietal fascia flap. J Neurosurg Pediatr 17:371-377, 2016
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13) Teachey W, Grayson J, Cho DY, Riley KO, Woodworth BA:Intervention for elevated intracranial pressure improves success rate after repair of spontaneous cerebrospinal fluid leaks. Laryngoscope 127:2011-2016, 2017
14) Tumturk A, Ulutabanca H, Gokoglu A, Oral S, Menku A, Kurtsoy A:The results of the surgical treatment of spontaneous rhinorrhea via craniotomy and the contribution of CT cisternography to the detection of exact leakage side of CSF. Turk Neurosurg 26:699-703, 2016
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掲載誌情報

出版社:株式会社医学書院

電子版ISSN:1882-1251

印刷版ISSN:0301-2603

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