镰旁脑膜瘤术后静脉性脑梗死的临床特征及预防（附8例报道）

Clinical features and prevention of cerebral venous infarction after surgery in patients with parafalcine meningiomas (report of 8 cases)

目的探讨镰旁脑膜瘤术后静脉性脑梗死的临床特征及预防方法。方法回顾性分析2009年1月至2018年12月收治的8例镰旁脑膜瘤术后静脉性脑梗死的临床资料。8例均再次行手术治疗,其中6例行单纯内减压术,2例行内减压术+去骨瓣减压术。结果出院时,2例无明显后遗症状;3例存在偏瘫,其中2例伴失语;2例轻偏瘫;1例仍昏迷。结论镰旁脑膜瘤术中静脉性损伤可导致灾难性后果,应当尽一切可能保留重要静脉。

Objective To explore the clinical features and prevention of postoperative cerebral venous infarction in patients with parafalcine meningiogmas.Methods The clinical data of 8 patients with cerebral venous infarction after resection of parafalcine meningiomas were analyzed retrospectively.Of these 8 patients who underwent surgery again,6 received only intracerebral decompression and 2 intracerebral decompression and craniectomy.Results On discharge,2 patients had no obvious sequelae,2 hemiplegia and aphasia,1 hemiplegia,2 mild hemiplegia and 1 patient was still in coma.Conclusions The cerebral vein injury may cause catastrophic complications in a few patients.To avoid these complications,meticulous venous preservation should be performed in all the neurosurgical procedures.