顱內出血病人接受腦室引流術後併發腦室狹窄症候群之臨床表現：病例報告

一位55歲男性病人罹患左側顱內出血後併發水腦症，接受顱骨與血塊移除及引流管植入手術，待病情穩定，即執行顱骨回填。其後由於頭皮壞死接受多次清創手術，接著又因顱骨骨髓炎，再次移除顱骨。移除兩個月後病人意識惡化，開始有嗜睡、尿失禁、食慾變差、嘔吐、且無法自行走動。頭部電腦斷層結果顯示右側腦室成一狹縫狀，在腦室狹窄症候群的診斷下，進行腦室引流管移除手術。治療後病人臨床症狀隨即恢復。腦室狹窄症候群，常見於罹患水腦而接受腦室引流術的孩童，卻罕見於老年族群。提出這個罕見病例，希望對臨床醫師在處理類似病患時，能有所幫助。

關鍵字

顱內出血；水腦；引流術；腦室

並列摘要

A 55-year-old male patient suffered from left intracranial hemorrhage received craniotomy and removal of intracerebral hematoma. Ventriculoperitoneal shunt was implanted for the complication of hydrocephalus. The skull was put back later because of stable status. He developed scalp necrosis and, therefore several times of debridement was done. The skull was taken away under the suspicion of osteomyelitis. However, he had vomiting, somnolence, urinary incontinence and unable to walk two months after this procedure. Computed tomography showed slit ventricles in right hemisphere. The shunt was then removed and his clinical conditions improved. Slit ventricle syndrome is commonly seen in children, rather than aged persons, with hydrocephalus treated with shunt surgery. We presented this unusual case, which may help clinicians in dealing with such kind of patients.

並列關鍵字

intracranial hemorrhages ； hydrocephalus ； shunt ； cerebral ventricles

國際替代計量

顱內出血病人接受腦室引流術後併發腦室狹窄症候群之臨床表現：病例報告

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