婴儿外部性脑积水的诊断和治疗

Infaiitile external hydrocephalus—Diagnosis and treatment.

本文报告了20例婴儿外部性脑积水。指出婴儿外部性脑积水是一种良性自愈性疾病。临床表现为头颅增大和高颅压症状。CT主要表现为额区或额顶区蛛网膜下腔的增宽,前部半球间裂的增宽和基底池的扩大,治疗上主要是解除早期高颅压的症状,多采用前囟穿刺放液、持续外引流等方法。一旦高颅压症状缓解则再无需特殊治疗,一年内积水可完全吸收而自愈。

Twenty infants with external hydro-cephalus were reported in this paper. It was revealed that infantile external hydrocephalus (EH) was one kind of benign self-cure disease. The main clinical manifestations were expansion of the oranium and raised TCP. CT scan showed widened frontal or fronto-parietal subarachnoid space, widened anterior inter-hemispheric fissure and enlarged basal cistern. Therapy mainly aimed at diminishing the raised ICP,mostly applied methods were puncture of the anterior fontanel and external drainage. If the raised ICP is lowered, no more special treatment was needed, since the accumulated CSF would disappear spontaneously within one year.