初次側顱底修補後之自發性新發腦膨出的風險因子與型態

// Risk Factors and Patterns of Spontaneous New Encephaloceles Following Initial Lateral Skull Base Repair

回顧176名自發性腦鼓（encephalocele，顱底腦組織突出）成人修補病例｜32人（18%）於中位1.6年出現新發顱底腦鼓：同側69%、前側22%、對側9%｜建議側位病灶應廣泛暴露並修補整個顱底以降低復發；遠端新發提示可能有其他生理風險因子，需進一步研究

// This retrospective study of 176 consecutive adults treated for spontaneous encephaloceles (2012–2024) aimed to identify risk factors and patterns for new encephaloceles after initial repair. Thirty-two patients (18%) developed new skull-base encephaloceles at a median 1.6 years (IQR 0.3–2.9) after repair, most commonly ipsilateral (69%), with fewer anterior (22%) or contralateral (9%) occurrences. The authors therefore recommend wide exposure and repair of the entire skull base when addressing lateral encephaloceles. The occurrence of new, distant encephaloceles suggests additional physiological risk factors that require further study.

Published 2026年9月16日