导读:本文包含了提议策略论文开题报告文献综述及选题提纲参考文献，主要关键词:脑积水,CSF,脑病,脑室扩张
提议策略论文文献综述
徐永革[1]（2011）在《细节决定成败:脑积水分型分类方法和治疗策略——个人提议及解读》一文中研究指出经常在神经外科专业会上听到有关"内镜第叁脑室造口治疗交通性脑积水为何有效"这样的提问,作者也不止一次在相关会议上解答此问题。有些同行弄不清"梗阻性脑积水"和"非交通性脑积水"、Novak等认为脑室出血后的继发病理改变包括:(1)血肿分解代谢产物对脑神经代谢的影响;(2)脑室系统新生膜性结构形成;(3)管道变狭窄,继发脑积水。内镜能够彻底清除脑室内血肿,保证术后脑脊(本文来源于《中国医师协会神经外科医师分会第六届全国代表大会论文汇编》期刊2011-04-15）
Marangoni,S,Argentiero,V,Tavolato,B.,李青波[2]（2006）在《中枢神经系统结节病:7例患者的临床报道并提议一种新诊断策略》一文中研究指出Objective: Chronic involvement of the nervous system is relatively rare in sarcoidosis. We describe 7 cases that fulfil Zajicek’s criteria for neurosarcoidosis (NS) and propose some modifications to such criteria. Materials and methods: The patients were admitted for various neurological syndromes: 2 cases presented with chronic lymphocytic meningitis, 4 with spinal cord symptoms, one case was initially confused with multiple sclerosis. Serological tests, immunological screening, cerebrospinal fluid (CSF) analysis, bacteriological and viral testing were performed in all patients. Spinal and cerebral MRI, gallium scan, bronchoscopy with biopsy and bronchoalveolarlavage fluid analysis, high-resolution computed tomography (HRCT) of the chest, biopsy of the lungs, skin, mediastinal lymph-node and meninges, were useful in diagnosing NS. Results and discussion: Laboratory tests showed serum inflammatory abnormalities, but were negative for infectious diseases, while CSF showed inflammatory signs in all patients. MRI revealed meningeal enhancement or hypertrophic pachymeningeal lesions in 4 patients, white matter abnormalities and mass lesions in 2 patients, and a spinal mass lesion in 1 patient. Gallium scan, HRCT, bronchoscopy were positive in most cases. Patients were treated with steroid and immunosuppressive therapy, with improvement in six cases. One patient died from infectious complications. Conclusion: A definite diagnosis of NS requires demonstration of non-caseating granulomas affecting nervous tissues. In most cases, histological evidence of systemic disease (probable NS) is sufficient in the presence of compatible alterations in the CNS. In our patients the bronchoalveolarlavage fluid analysis, gallium scan, and chest HRCT were important for diagnosis,while serum ACE was always normal and chest radiographs were not suggestive of sarcoidosis.(本文来源于《世界核心医学期刊文摘(神经病学分册)》期刊2006年11期）
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Objective: Chronic involvement of the nervous system is relatively rare in sarcoidosis. We describe 7 cases that fulfil Zajicek’s criteria for neurosarcoidosis (NS) and propose some modifications to such criteria. Materials and methods: The patients were admitted for various neurological syndromes: 2 cases presented with chronic lymphocytic meningitis, 4 with spinal cord symptoms, one case was initially confused with multiple sclerosis. Serological tests, immunological screening, cerebrospinal fluid (CSF) analysis, bacteriological and viral testing were performed in all patients. Spinal and cerebral MRI, gallium scan, bronchoscopy with biopsy and bronchoalveolarlavage fluid analysis, high-resolution computed tomography (HRCT) of the chest, biopsy of the lungs, skin, mediastinal lymph-node and meninges, were useful in diagnosing NS. Results and discussion: Laboratory tests showed serum inflammatory abnormalities, but were negative for infectious diseases, while CSF showed inflammatory signs in all patients. MRI revealed meningeal enhancement or hypertrophic pachymeningeal lesions in 4 patients, white matter abnormalities and mass lesions in 2 patients, and a spinal mass lesion in 1 patient. Gallium scan, HRCT, bronchoscopy were positive in most cases. Patients were treated with steroid and immunosuppressive therapy, with improvement in six cases. One patient died from infectious complications. Conclusion: A definite diagnosis of NS requires demonstration of non-caseating granulomas affecting nervous tissues. In most cases, histological evidence of systemic disease (probable NS) is sufficient in the presence of compatible alterations in the CNS. In our patients the bronchoalveolarlavage fluid analysis, gallium scan, and chest HRCT were important for diagnosis,while serum ACE was always normal and chest radiographs were not suggestive of sarcoidosis.
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提议策略论文参考文献
[1].徐永革.细节决定成败:脑积水分型分类方法和治疗策略——个人提议及解读[C].中国医师协会神经外科医师分会第六届全国代表大会论文汇编.2011
[2].Marangoni,S,Argentiero,V,Tavolato,B.,李青波.中枢神经系统结节病:7例患者的临床报道并提议一种新诊断策略[J].世界核心医学期刊文摘(神经病学分册).2006