交通性脑积水

本文报告47例梗阻性与交通性脑积水的CT诊断和鉴别诊断。

CT diagnosis and differential diagnosis of47 cases of obstructive and communicating hydrocephalus were reported in this paper .

结果：24例交通性脑积水中：HuntⅢ级和HuntⅣ级患者高达87.5%，而HuntⅡ级仅占12.5%；

Results : Patients with Hunt ⅲ and ⅳ grade occupied 87.5 % in all communicating hydrocephalus , whereas only 12.5 % belonged to Hunt ⅱ grade .

交通性脑积水脑室分流前后的脑脊液MRI定量研究

MRI Quantitative CSF Study in Communicating Hydrocephalus before and after VP Surgery

结论：①本组交通性脑积水多见于Hunt分级较高的女性患者；

Conclusions : ① Hydrocephalus from ruptured intracranial aneurysms treated by clipping was predisposed to female patients with high Hunt grade ;

结论ETV处理非交通性脑积水效果较好。

Conclusion ETV for the treatment of non-communicating hydrocephalus was efficacious .

目的：运用MRIcinePC定量研究交通性脑积水脑室分流前后的脑脊液流动情况。

Purpose : To study the flow of cerebrospinal fluid ( CSF ) in patients with communicating hydrocephalus pre and post surgery with MRI in phase contrast cine mode ( MRI cine PC ) .

方法回顾性分析58例非交通性脑积水病人接受的58次ETV手术及其近期随访的临床、影像资料。

Methods Latest clinical follow-up results and imaging data of 58 ETVs in 58 patients with non-communicating hydrocephalus were evaluated retrospectively .

目的探讨内镜第三脑室造瘘术（ETV）处理非交通性脑积水的手术技巧。

S : Objective To probe into the techniques of endoscopic third ventriculostomy ( ETV ) for the treatment of non-communicating hydrocephalus .

目的：探讨交通性脑积水一种新的治疗方法。

Objective : To discuss a new way for treatment of communication hydrocephalus .

结果34例患者中梗阻性脑积水30例，交通性脑积水4例。

Results Of the 34 cases , there were 30 patients with obstructive hydrocephalus and 4 communicating hydrocephalus .

方法：采用回顾性分析对破裂脑动脉瘤夹闭术后发生的24例交通性脑积水患者的临床资料进行分析。

Method : The clinical data of post-operative communicating hydrocephalus in 24 intracranial aneurysmal cases were analyzed retrospectively .

目的：介绍改良椎管-腹腔分流治疗交通性脑积水的临床价值。

Objective : To introduce the clinical value of percutaneous lumboperitoneal shunt used in36 patients having communicating hydrocephalus .

1例术后第4天脑疝死亡，2例术后发生交通性脑积水，行脑室腹腔分流术后病情好转。

Case died 4 days after operation because of tentorium incisure herniation . 2 cases occurred communication hydrocephalus after operation , recovered after ventricle peritoneal shunt .

腰大池持续引流辅助治疗重型颅脑损伤临床体会交通性脑积水脑室-腹腔分流术失败后采用腰大池-腹腔分流的疗效

Clinical understanding of auxilliary cure of severe craniocerebral trauma by use of continuous drainage of subarachnoid lumbar Lumboperitoneal shunt for communicating hydrocephalus after failed ventriculoperitoneal shunt

早期头颅CT/MRI增强扫描可见脑膜线状与条状异常增强，可有交通性脑积水，脑实质也可有异常强化。

The early CT / MRI enhanced scanning found abnormal linear and strip enhancement of meninge and communicating hydrocephalus as well as abnormal enhancement of cerebral matter .

交通性脑积水表现为上行三叉影像圆钝，核素在脑表面和纵裂区蓄积且消散时间延长。

In communicating hydrocephalus , round-blunt ascending tridentate imaging was showed , the nuclide was accumulated on the surface of cerebrum and longitudinal fissure and dissipation time was delayed .

结果术后死亡6例，饮水呛咳2例，发音障碍4例，交通性脑积水1例，无后遗症7例。

Results 6 cases were died after operation , 2 cases supervened dysdipsia , 4 cases supervened dysphonia , 1 case supervened communicating hydrocephalus and 7 cases without any complications .

结果12例均为外伤后交通性脑积水。发生时间：2周内1例，3~4周9例，5~6周2例。

Results All the 12 cases were sufferers of post-traumatic communicative hydrocrania , which occurred within the previous 2 weeks ( 1 case ), 3 to 4 weeks ( 9 cases ) and 5 to 6 weeks ( 2 cases ) respectively .

交通性脑积水组脑脊液循环表现为高动力学改变，向下及向上峰速分别为26.60±9.06mm/s和22.61±7.92mm/s，与正常志愿组比较有显著差异（P<0.05）。

Hyperdynamics CSF flow of the aqueduct was revealed in the communicating hydrocephalus which has statistical difference with volunteers group ( P < 0.05 ) . The outflow and inflow peak velocity were 26.60 ± 9.06 mm / s and 22.61 ± 7.92 mm / s respectively .

55例非交通性和交通性脑积水患者的B波客观分析

Objective B wave analysis in 55 patients with noncommunicating and communicating hydrocephalus