内視鏡下脳実質内腫瘍摘出後に症候性extra-axial fluid collectionを来した1例
1歳9か月女児．長径71 mmの左側頭葉atypical teratoid/rhabdoid tumorに対し，小開頭で内視鏡手術を行った．皮質小切開を行い，細径超音波手術器を用いて腫瘍を亜全摘した．その際，左側脳室下角が開放した．術2週後に嘔吐，右不全片麻痺を伴うExtra-axial fluid collection（EAFC）を認め緊急ドレナージ術を要した．腫瘍を摘出した際に脳室が開放し，さらに髄液循環不全を伴った場合は，症候性EAFCを合併する可能性があるため注意すべきである．...
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| Published in | 小児の脳神経 Vol. 49; no. 4; pp. 183 - 188 |
|---|---|
| Main Authors | , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
一般社団法人 日本小児神経外科学会
2024
日本小児神経外科学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0387-8023 2435-824X |
| DOI | 10.34544/jspn.49.4_183 |
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| Abstract | 1歳9か月女児．長径71 mmの左側頭葉atypical teratoid/rhabdoid tumorに対し，小開頭で内視鏡手術を行った．皮質小切開を行い，細径超音波手術器を用いて腫瘍を亜全摘した．その際，左側脳室下角が開放した．術2週後に嘔吐，右不全片麻痺を伴うExtra-axial fluid collection（EAFC）を認め緊急ドレナージ術を要した．腫瘍を摘出した際に脳室が開放し，さらに髄液循環不全を伴った場合は，症候性EAFCを合併する可能性があるため注意すべきである． |
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| AbstractList | 「要旨」1歳9か月女児. 長径71mmの左側頭葉atypical teratoid / rhabdoid tumorに対し, 小開頭で内視鏡手術を行った. 皮質小切開を行い, 細径超音波手術器を用いて腫瘍を亜全摘した. その際, 左側脳室下角が開放した. 術2週後に嘔吐, 右不全片麻痺を伴うExtra-axial fluid collection(EAFC)を認め緊急ドレナージ術を要した. 腫瘍を摘出した際に脳室が開放し, さらに髄液循環不全を伴った場合は, 症候性EAFCを合併する可能性があるため注意すべきである. 1歳9か月女児．長径71 mmの左側頭葉atypical teratoid/rhabdoid tumorに対し，小開頭で内視鏡手術を行った．皮質小切開を行い，細径超音波手術器を用いて腫瘍を亜全摘した．その際，左側脳室下角が開放した．術2週後に嘔吐，右不全片麻痺を伴うExtra-axial fluid collection（EAFC）を認め緊急ドレナージ術を要した．腫瘍を摘出した際に脳室が開放し，さらに髄液循環不全を伴った場合は，症候性EAFCを合併する可能性があるため注意すべきである． |
| Author | 大江, 直行 岩間, 亨 小木曾, 衛 今井, 直哉 |
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| References | [5] Greenberg MS: Handbook of Neurosurgery Ninth Edition. New York, Theime, 2020, 414-416. [14] Plaha P, Livermore LJ, Voets N, Pereira E, Cudlip S: Minimally invasive endoscopic resection of intraparenchimal brain tumors. World Neurosurg 82: 1198-1208, 2014. [11] Montano N, D’Alessandris QG, Bianchi F, Lauretti L, Doglietto F, Fernandez E, Maira G, Pallini R: Communicating hydrocephalus following surgery and adjuvant radiochemotherapy for glioblastoma. J Neurosurg 115: 1126-30, 2011. [3] Ebel F, Greuter L, Guzman R, Soleman J: Resection of brain lesions with a neuroendoscopic ultrasonic aspirator - a systematic literature review. Neurosurg Rev 45: 3109-3118, 2022. [8] Koizumi H, Fukamachi A, Nukui H: Postoperative subdural fluid collections in neurosurgery. Surg Neurol 27: 147-153, 1987. [4] Elhabashy AM, Fayed AA, Khedr WM: Subdural collection after transcortical approach for pediatric brain tumors; avoidance, consequence and solutions. Egypt j neurosurg 37: 2022. [13] Peretta P, Ragazzi R, Galarza M, Genitori L, Giordano F, Mussa F, Cinalli G: Complications and pitfalls of neuroendoscopic surgery in children. J. Neurosurg Pediatrics 105: 187-193, 2006. [15] Robertson WC Jr, Gomez MR: External hydrocephalus. Early finding in congenital communicating hydrocephalus. Arch Neurol 35: 541-544, 1978. [10] Litofsky NS, Raffel C, McComb JG: Management of symptomatic chronic extra-axial fluid collections in pediatric patients. Neurosurgery 31: 445-450, 1992. [1] Budhiraja M, Pathak A, Brar H, Brar R: Pure endoscopic excision of parenchymal brain tumors: feasibility, risks, advantages and realities — a beginners perspective. Arq Bras Neurocir 39: 201-206, 2020. [2] Chen Z, Zhou M, Wen H, Wang Q, Guan J, Zhang Y, Zhang W: Predictive factors for persistent postoperative hydrocephalus in children undergoing surgical resection of periventricular tumors. Front Neurol 14: 1136840, 2023. [7] Hönikl LS, Lange N, Meyer B, Gempt J, Meyer HS: Postoperative communicating hydrocephalus following grade 2/3 glioma resection: incidence, timing and risk factors. Cancer (Basel) 15: 3548, 2023. [12] Papaioannou V, Czosnyka Z, Czosnyka M: Hydrocephalus and the neuro-intensivist: CSF hydrodynamics at the bedside. Intensive Care Med Exp 10: 20, 2022. [6] Greenberg MS: Handbook of Neurosurgery Ninth Edition. New York, Theime, 2020, 939-940. [9] Kutlay M, Kural C, Solmaz L, Tehli O, Temiz C, Daneyemez M, Izci Y: Fully endoscopic resection of intra-axial brain lesions using neuronavigated pediatric anoscope. Turk Neurosurg 26: 491-499, 2016. [16] Souweidane MM: Endoscopic management of pediatric brain tumors. Neurosurg Focus 18: E1, 2005. |
| References_xml | – reference: [15] Robertson WC Jr, Gomez MR: External hydrocephalus. Early finding in congenital communicating hydrocephalus. Arch Neurol 35: 541-544, 1978. – reference: [9] Kutlay M, Kural C, Solmaz L, Tehli O, Temiz C, Daneyemez M, Izci Y: Fully endoscopic resection of intra-axial brain lesions using neuronavigated pediatric anoscope. Turk Neurosurg 26: 491-499, 2016. – reference: [7] Hönikl LS, Lange N, Meyer B, Gempt J, Meyer HS: Postoperative communicating hydrocephalus following grade 2/3 glioma resection: incidence, timing and risk factors. Cancer (Basel) 15: 3548, 2023. – reference: [11] Montano N, D’Alessandris QG, Bianchi F, Lauretti L, Doglietto F, Fernandez E, Maira G, Pallini R: Communicating hydrocephalus following surgery and adjuvant radiochemotherapy for glioblastoma. J Neurosurg 115: 1126-30, 2011. – reference: [4] Elhabashy AM, Fayed AA, Khedr WM: Subdural collection after transcortical approach for pediatric brain tumors; avoidance, consequence and solutions. Egypt j neurosurg 37: 2022. – reference: [10] Litofsky NS, Raffel C, McComb JG: Management of symptomatic chronic extra-axial fluid collections in pediatric patients. Neurosurgery 31: 445-450, 1992. – reference: [12] Papaioannou V, Czosnyka Z, Czosnyka M: Hydrocephalus and the neuro-intensivist: CSF hydrodynamics at the bedside. Intensive Care Med Exp 10: 20, 2022. – reference: [3] Ebel F, Greuter L, Guzman R, Soleman J: Resection of brain lesions with a neuroendoscopic ultrasonic aspirator - a systematic literature review. Neurosurg Rev 45: 3109-3118, 2022. – reference: [6] Greenberg MS: Handbook of Neurosurgery Ninth Edition. New York, Theime, 2020, 939-940. – reference: [13] Peretta P, Ragazzi R, Galarza M, Genitori L, Giordano F, Mussa F, Cinalli G: Complications and pitfalls of neuroendoscopic surgery in children. J. Neurosurg Pediatrics 105: 187-193, 2006. – reference: [14] Plaha P, Livermore LJ, Voets N, Pereira E, Cudlip S: Minimally invasive endoscopic resection of intraparenchimal brain tumors. World Neurosurg 82: 1198-1208, 2014. – reference: [5] Greenberg MS: Handbook of Neurosurgery Ninth Edition. New York, Theime, 2020, 414-416. – reference: [16] Souweidane MM: Endoscopic management of pediatric brain tumors. Neurosurg Focus 18: E1, 2005. – reference: [8] Koizumi H, Fukamachi A, Nukui H: Postoperative subdural fluid collections in neurosurgery. Surg Neurol 27: 147-153, 1987. – reference: [1] Budhiraja M, Pathak A, Brar H, Brar R: Pure endoscopic excision of parenchymal brain tumors: feasibility, risks, advantages and realities — a beginners perspective. Arq Bras Neurocir 39: 201-206, 2020. – reference: [2] Chen Z, Zhou M, Wen H, Wang Q, Guan J, Zhang Y, Zhang W: Predictive factors for persistent postoperative hydrocephalus in children undergoing surgical resection of periventricular tumors. Front Neurol 14: 1136840, 2023. |
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| Snippet | 1歳9か月女児．長径71 mmの左側頭葉atypical teratoid/rhabdoid tumorに対し，小開頭で内視鏡手術を行った．皮質小切開を行い，細径超音波手術器を用いて腫瘍を亜全摘した．その際，左側脳室下角が開放した．術2週後に嘔吐，右不全片麻痺を伴うExtra-axial fluid... 「要旨」1歳9か月女児. 長径71mmの左側頭葉atypical teratoid / rhabdoid tumorに対し, 小開頭で内視鏡手術を行った. 皮質小切開を行い, 細径超音波手術器を用いて腫瘍を亜全摘した. その際, 左側脳室下角が開放した. 術2週後に嘔吐, 右不全片麻痺を伴うExtra-axial... |
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| StartPage | 183 |
| SubjectTerms | complication endoscopic tumor removal extra-axial fluid collection small craniotomy small-diameter cavitron ultrasonical surgical aspirator |
| Title | 内視鏡下脳実質内腫瘍摘出後に症候性extra-axial fluid collectionを来した1例 |
| URI | https://www.jstage.jst.go.jp/article/jspn/49/4/49_183/_article/-char/ja http://mol.medicalonline.jp/en/journal/download?GoodsID=co2socie/2024/004904/009&name=0183-0188j |
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