Neurological Surgery 脳神経外科50巻2号

2022年03月発行

特集 水頭症—脳脊髄液動態への理解と治療に迫る Ⅲ水頭症の治療

小児水頭症に対する治療戦略

著者： 亀田雅博¹

所属機関： ¹大阪医科薬科大学脳神経外科学教室

ページ範囲：P.376 - P.386

Point
・水頭症は病態としては増悪進行することが一般的であり，治療介入によって停止性の病態に持ち込む必要がある．
・内科的治療で小児水頭症の根治を得るのは難しく，脳室腹腔シャント術や内視鏡的第三脳室底開窓術（ETV）±脈絡叢焼灼術（CPC）といった外科的治療が行われる．
・小児水頭症では，術後慢性期であってもシャント機能不全などを発症することがあるため，定期フォローアップ環境の構築と維持が重要である．

参考文献

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