アブストラクト
| Title | (7) 小児脳神経外科 |
|---|---|
| Subtitle | 特集 脳神経外科サブスペシャリティの基礎と最新知識 外傷 / 定位・機能 / 神経減圧 / てんかん / 脊椎脊髄 / 末梢神経 / 小児 / 感染症・医療安全 領域別解説 |
| Authors | 原田敦子 |
| Authors (kana) | |
| Organization | 高槻病院小児脳神経外科 |
| Journal | 脳神経外科速報 |
| Volume | 33 |
| Number | 3 |
| Page | 336-344 |
| Year/Month | 2023 / |
| Article | 報告 |
| Publisher | メディカ出版 |
| Abstract | 「はじめに」 小児脳神経外科では, 先天奇形以外に血管障害, 腫瘍, 外傷, 機能など, 多岐にわたる疾患に携わる. 本稿では小児特有の疾患である先天奇形, 特に水頭症, 頭蓋骨縫合早期癒合症, 二分脊椎症について専門医として必要な基礎知識, 最新情報を概説し, 最後にサブスペシャリティとしての小児脳神経外科の魅力について述べる. 「水頭症」 「1) 基礎」 小児の水頭症治療で最も難しい点は手術適応の判断である. 頭蓋内圧亢進症状がある場合だけでなく, 児の将来を見据えて手術適応を考えなければならない. また, 特に新生児・乳児では, 水頭症の症状の程度と体重を考慮に入れて手術時期や手術方法を決める必要がある. 「A. 水頭症の症状」 大泉門閉鎖前にのみ見られる症状を覚えておく必要がある. 「●大泉門閉鎖前」 頭囲拡大, 大泉門の膨隆, 頭皮静脈の怒張, 頭蓋骨縫合の離開, 前頭部突出, 落陽現象, 外直筋麻痺, 易刺激性, 嘔吐, 傾眠, 発達の遅れ・退行. |
| Practice | 臨床医学：外科系 |
| Keywords |
- 全文ダウンロード： 従量制、基本料金制の方共に1,749円(税込) です。
参考文献
- 1) Kulkarni AV, et al: Endoscopic third ventriculostomy in the treatment of childhood hydrocephalus. J Pediatr 155:254-9, 2009
- 2) Kestle JRW, et al: A new Hydrocephalus Clinical Research Network protocol to reduce cerebrospinal fluid shunt infection. J Neurosurg Pediatr 17:391-6, 2016
- 3) Mazzola CA, et al: Pediatric hydrocephalus: systematic literature review and evidence-based guidelines. Part 2: Management of posthemorrhagic hydrocephalus in premature infants. J Neurosurg Pediatr 14:8-23, 2014
- 4) Flannery AM, et al: Pediatric hydrocephalus: systematic literature review and evidence-based guidelines. Part 3: Endoscopic computer-assisted electromagnetic navigation and ultrasonography as technical adjuvants for shunt placement. J Neurosurg Pediatr 14:24-9, 2014
- 5) Limbrick DD Jr, et al: Pediatric hydrocephalus: systematic literature review and evidence-based guidelines. Part 4: Cerebrospinal fluid shunt or endoscopic third ventriculostomy for the treatment of hydrocephalus in children. J Neurosurg Pediatr 14:30-4, 2014
残りの17件を表示する
- 6) Baird LC, et al: Pediatric hydrocephalus: systematic literature review and evidence-based guidelines. Part 5: Effect of valve type on cerebrospinal fluid shunt efficacy. J Neurosurg Pediatr 14:35-43, 2014
- 7) Klimo P Jr, et al: Pediatric hydrocephalus: systematic literature review and evidence-based guidelines. Part 6: Preoperative antibiotics for shunt surgery in children with hydrocephalus: a systematic review and meta-analysis. J Neurosurg Pediatr 14:44-52, 2014
- 8) Klimo P Jr, et al: Pediatric hydrocephalus: systematic literature review and evidence-based guidelines. Part 7: Antibiotic-impregnated shunt systems versus conventional shunts in children: a systematic review and meta-analysis. J Neurosurg Pediatr 14:53-9, 2014
- 9) Tamber MS, et al: Pediatric hydrocephalus: systematic literature review and evidence-based guidelines. Part 8: Management of cerebrospinal fluid shunt infection. J Neurosurg Pediatr 14:60-71, 2014
- 10) Kemp J, et al: Pediatric hydrocephalus: systematic literature review and evidence-based guidelines. Part 9: Effect of ventricular catheter entry point and position. J Neurosurg Pediatr 14:72-6, 2014
- 11) Nikas DC, et al: Pediatric hydrocephalus: systematic literature review and evidence-based guidelines. Part 10: Change in ventricle size as a measurement of effective treatment of hydrocephalus. J Neurosurg Pediatr 14:77-81, 2014
- 12) Bauer DF, et al: Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines on the Treatment of Pediatric Hydrocephalus: Update of the 2014 Guidelines. Neurosurgery 87:1071-5, 2020
- 13) Kulkarni AV, et al: Endoscopic third ventriculostomy in children: prospective, multicenter results from the Hydrocephalus Clinical Research Network. J Neurosurg Pediatr 18:423-9, 2016
- 14) Kulkarni AV, et al: International Infant Hydrocephalus Study (IIHS): 5-year health outcome results of a prospective, multicenter comparison of endoscopic third ventriculostomy (ETV) and shunt for infant hydrocephalus. Childs Nerv Syst 34:2391-7, 2018
- 15) Warf BC: Comparison of endoscopic third ventriculostomy alone and combined with choroid plexus cauterization in infants younger than 1 year of age: a prospective study in 550 African children. J Neurosurg 103:475-81, 2005
- 16) Jimenez DF, Barone CM: Endoscopic craniectomy for early surgical correction of sagittal craniosynostosis. J Neurosurg 88:77-81, 1998
- 17) 原田敦子, 久徳茂雄: 頭蓋骨縫合早期癒合症に対する内視鏡支援下縫合切除術と術後ヘルメット治療. No Shinkei Geka 50:1230-6, 2022
- 18) Mazzola CA, et al: Congress of Neurological Surgeons Systematic Review and Evidence-Based Guidelines for Pediatric Myelomeningocele: Executive Summary. Neurosurgery 85:299-301, 2019
- 19) Pang D, et al: Limited dorsal myeloschisis: a distinctive clinicopathological entity. Neurosurgery 67:1555-79, 2010
- 20) Pang D, et al: Retained medullary cord in humans: late arrest of secondary neurulation. Neurosurgery 68:1500-19, 2011
- 21) Tulipan N, Bruner JP: Myelomeningocele repair in utero: a report of three cases. Pediatr Neurosurg 28:177-80, 1998
- 22) Adzick NS, et al: A randomized trial of prenatal versus postnatal repair of myelomeningocele. N Engl J Med 364:993-1004, 2011
