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Neurological Surgery 脳神経外科50巻2号

2022年03月発行

文献概要

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

くも膜下出血後続発性水頭症の治療

著者: 山城重雄1

所属機関: 1済生会熊本病院脳卒中センター脳神経外科

ページ範囲:P.411 - P.418

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Point
・くも膜下出血後の慢性期水頭症の頻度はおおむね30%で,重症例ほど頻度が高い.
・クリッピング術後とコイル塞栓術後で,水頭症発生に有意差はみられない.
・抗血小板薬投与下でのシャント術は可能であるが,出血リスクに留意する.

参考文献

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8)Xie Z, et al:Predictors of shunt-dependent hydrocephalus after aneurysmal subarachnoid hemorrhage? A systematic review and meta-analysis. World Neurosurg 106:844-860, 2017
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12)Diesing D, et al:A novel score to predict shunt dependency after aneurysmal subarachnoid hemorrhage. J Neurosurg 128:1273-1279, 2018
13)Matsuzaki H:Use of Paine's technique:projecting puncture point to the skull and skin. World Neurosurg 104:45-47, 2017
14)Mori R, et al:Hybrid operating room for combined neuroendovascular and endoscopic treatment of ruptured cerebral aneurysms with intraventricular hemorrhage. World Neurosurg 89:727.e9-727.e12, 2016
15)藤本康倫,他:LPシャントを第一選択としたくも膜下出血後水頭症の治療成績.脳卒中の外科 45:19-22, 2017
16)Hudson JS, et al:Hemorrhage associated with ventriculoperitoneal shunt placement in aneurysmal subarachnoid hemorrhage patients on a regimen of dual antiplatelet therapy:a retrospective analysis. J Neurosurg 129:916-921, 2018
17)Kameda M, et al;SINPHONI and SINPHONI-2 Investigators:Cost-effectiveness analysis of shunt surgery for idiopathic normal pressure hydrocephalus based on the SINPHONI and SINPHONI-2 trials. Acta Neurochir(Wien) 159:995-1003, 2017
18)Wu Y:Ventriculoperitoneal shunt complications in California:1990 to 2000. Neurosurgery 61:557-562;discussion 562-563, 2007

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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