脊柱侧凸矫形内固定术后发生特发性颅内高压症一例报告  

A rare case of idiopathic intracranial hypertension after the surgery for scoliosis

作　　者：李浩[1] 陈刚[1] 李方财[1] 陈其昕[1] 

机构地区：[1]浙江大学医学院附属第二医院骨科中心脊柱外科,杭州310009

出　　处：《中国骨与关节杂志》2017年第1期76-78,共3页Chinese Journal of Bone and Joint

摘　　要：特发性颅内高压症（idiopathic intracranial hypertension,IIH）是原因不明的颅内高压以及相关临床表现的一个临床综合征,其临床特点是除头痛、恶心、呕吐和视盘水肿等颅内压升高表现外,无其它神经系统阳性体征,脑脊液检查除压力增高外无成分异常,神经系统影像学检查无器质性病变[1-2]。脊柱侧凸矫形内固定术后发生IIH临床极为罕见,既往仅见2例报道。Idiopathic intracranial hypertension（ IIH） is a relatively rare syndrome of increased intracranial pressure of unknown etiology. It is characterized by cerebrospinal fluid（ CSF） opening pressure more than 250 mm H2 O, with normal CSF content and cranial imaging. The report of IIH occuring after correction and internal fixation for scoliosis is especially uncommon and there is only one study with 2 similar cases reported previously. In this report, we presented a 20-year-old female patient who developed IIH after posterior correction and internal fixation for congenital scoliosis. IIH appeared at 5 days postoperatively and the patient died due to the irreversible intracranial hypertension although she underwent intensive care and treatment. Also, we presented a brief review of IIH occuring after the surgery for scoliosis.

关 键 词：颅内高压 脊柱侧凸 手术后并发症 假脑瘤 矫形外科手术 

分 类 号：R687.3[医药卫生—骨科学]