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

脳室内腫瘍に合併する水頭症の治療

著者： 鈴木智成¹

所属機関： ¹埼玉医科大学国際医療センター脳脊髄腫瘍科

ページ範囲：P.429 - P.440

Point
・脳室内腫瘍による水頭症は髄液循環路の閉塞のほか，髄液の吸収障害や産生過多によって生じ，その原因を正しく判断することが重要である．
・腫瘍の組織型はさまざまであり化学療法や放射線治療に感受性のよい腫瘍もあるため，水頭症治療と同時に生検を行うメリットは大きい．
・頭蓋内圧が高い症例への脳室ドレナージや脳室腹腔シャントは，上行性ヘルニアを生じる危険があり注意を要する．

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