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

脳室内出血および脳出血後水頭症の病態と急性期治療

著者： 山本拓史¹

所属機関： ¹順天堂大学医学部附属静岡病院脳神経外科

ページ範囲：P.419 - P.428

Point
・脳室内出血は脳内出血の独立した予後不良因子であるとともに，脳室内血腫の増大も脳室内出血の予後不良因子となり得る．
・脳室内出血の治療は頭蓋内圧のコントロールと速やかな血腫除去が中心となる．
・血栓溶解薬を用いた血腫除去は死亡率を有意に改善させる．
・神経内視鏡による血腫除去術は血栓溶解薬よりも効率的に血腫除去が可能だが，エビデンスに乏しい．

参考文献

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