ACUTE OBSTRUCTIVE HYDROCEPHALUS DUE TO BRAIN-STEM EDEMA CAUSED BY HYPEROSMOTIC INSULT - CASE-REPORT

被引:2
作者
FUJIOKA, M [1 ]
OKUCHI, K [1 ]
IWANAGA, H [1 ]
SAKAKI, T [1 ]
机构
[1] NARA MED UNIV, DEPT NEUROSURG, NARA, JAPAN
关键词
BRAIN-STEM EDEMA; OSMOTIC ENDOTHELIAL INJURY; OBSTRUCTIVE HYDROCEPHALUS; NONKETOTIC HYPEROSMOLAR DIABETIC COMA;
D O I
10.3171/jns.1994.81.4.0627
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The case of a 63-year-old man with acute obstructive hydrocephalus is presented. To the authors' knowledge, this is the first reported case of acute obstructive hydrocephalus associated with nonketotic hyperosmolar diabetic coma. It is believed that the plasma hyperosmolality resulted in osmotic endothelial injury leading to brain-stem edema.
引用
收藏
页码:627 / 628
页数:2
相关论文
共 14 条
[1]  
ARIEFF AI, 1986, MINER ELECTROL METAB, V12, P383
[2]  
CHAN PH, 1984, FED PROC, V43, P210
[3]   FACTORS ASSOCIATED WITH BRAIN HERNIATION IN THE TREATMENT OF DIABETIC-KETOACIDOSIS [J].
DUCK, SC ;
WYATT, DT .
JOURNAL OF PEDIATRICS, 1988, 113 (01) :10-14
[4]   INFLUENCE OF PREISCHEMIC HYPERGLYCEMIA ON OSMOLALITY AND EARLY POSTISCHEMIC EDEMA IN THE RAT-BRAIN [J].
GISSELSSON, L ;
SMITH, ML ;
SIESJO, BK .
JOURNAL OF CEREBRAL BLOOD FLOW AND METABOLISM, 1992, 12 (05) :809-816
[5]   MECHANISMS OF REGULATION OF THE NA+/H+ EXCHANGER [J].
GRINSTEIN, S ;
ROTHSTEIN, A .
JOURNAL OF MEMBRANE BIOLOGY, 1986, 90 (01) :1-12
[6]   CENTRAL PONTINE MYELINOLYSIS IN SEVERELY BURNED PATIENTS - RELATIONSHIP TO SERUM HYPEROSMOLALITY [J].
MCKEE, AC ;
WINKELMAN, MD ;
BANKER, BQ .
NEUROLOGY, 1988, 38 (08) :1211-1217
[7]   BLOOD-BRAIN-BARRIER IMPAIRMENT BY LOW PH BUFFER PERFUSION VIA THE INTERNAL CAROTID-ARTERY IN RAT [J].
NAGY, Z ;
SZABO, M ;
HUTTNER, I .
ACTA NEUROPATHOLOGICA, 1985, 68 (02) :160-163
[8]   A HYPOTHESIS OF OSMOTIC ENDOTHELIAL INJURY - A PATHOGENETIC MECHANISM IN CENTRAL PONTINE MYELINOLYSIS [J].
NORENBERG, MD .
ARCHIVES OF NEUROLOGY, 1983, 40 (02) :66-69
[9]   NONKETOTIC HYPERGLYCEMIC HYPEROSMOLAR COMA - REPORT OF NEUROSURGICAL CASES WITH A REVIEW OF MECHANISMS AND TREATMENT [J].
PARK, BE ;
MEACHAM, WF ;
NETSKY, MG .
JOURNAL OF NEUROSURGERY, 1976, 44 (04) :409-417
[10]  
RAPOPORT SI, 1986, ANN NY ACAD SCI, V481, P250