剑桥急诊神经外科要素系列：急性自发性后颅窝出血 Acute Spontaneous Posterior Fossa Haemorrhage Lauren Harris

基本信息

Format:Paperback / softback 26 pages, Worked examples or Exercises

Publisher:Cambridge University Press

Imprint:Cambridge University Press

ISBN:9781009456500

Published:29 Feb 2024

Classifications:Neurology & clinical neurophysiology, Neurosurgery

Weight:58g

Dimensions:149 x 229 x 5 (mm)

基本信息仅供参考，具体以实物为准

书籍简介

非外伤性后窝出血约占所有颅内血肿的 10%，占所有脑卒中的 1.5%。在后窝，由于体积小，少量的肿块效应也会产生巨大影响。这可能是由于压力立即传递到脑干，或通过西尔维乌斯导水管闭塞或压迫第四脑室，导致急性梗阻性脑积水，并有扁桃体疝的风险。

及时进行检查和治疗对限度地提高疗效至关重要。本要点简要概述了后窝出血。它探讨了后窝出血的解剖、病因、处理和手术选择，并回顾了指导实践的现有证据。

Non-traumatic posterior fossa haemorrhage accounts for approximately 10% of all intracranial haematomas, and 1.5% of all strokes. In the posterior fossa, a small amount of mass effect can have dramatic effects, due to its small volume. This can be due to immediate transmission of pressure to the brainstem, or via occlusion of the aqueduct of Sylvius or compression of the fourth ventricle, leading to acute obstructive hydrocephalus, with the risk of tonsillar herniation.

Timely investigations and management are essential to maximise good outcomes. This Element offers a brief overview of posterior fossa haemorrhage. It looks at the anatomy, aetiology, management, and surgical options, with a review of the available evidence to guide practice.

作者简介

格罗弗先生是国立神经学和神经外科医院（NHNN）的神经外科顾问。他擅长颅底和血管神经外科。

Mr Grover is a consultant neurosurgeon at the National Hospital for Neurology and Neurosurgery (NHNN). He is specialised in skull base and vascular neurosurgery.