(推荐精选)脑疝分类及影像学表现图解.pptVIP

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  • 2020-05-08 发布于广东
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(推荐精选)脑疝分类及影像学表现图解.ppt

枕大孔疝 临床表现 影像所见 并发症 双侧上肢感觉减退 意识障碍 轴位像见到小脑扁桃体位于齿状突水平 矢状位见到小脑扁桃体低于枕大孔5mm(成人)或7mm(儿童) 小脑扁桃体出血性坏死 意识障碍和死亡 * 枕大孔疝 * Tonsillar herniation In tonsillar herniation (rare), a mass effect in the posterior fossa causes the cerebellar tonsils to herniate inferiorly through the foramen magnum compressing the medulla and upper cervical spinal cord. Conscious patients complain of neck pain and vomiting. They may have nystagmus, pupillary dilatation, bradycardia, hypertension and respiratory depression. Early tonsillar herniation is difficul

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