IV型成骨不全症合并的基底凹陷症：4例临床及神经放射学表现
Basilar impression complicating osteogenesis imperfecta type IV: the clinical and neuroradiological findings in four cases.
作者信息
Hayes M, Parker G, Ell J, Sillence D
机构信息
Department of Neurology, Concord Hospital, NSW, Australia.
出版信息
J Neurol Neurosurg Psychiatry. 1999 Mar;66(3):357-64. doi: 10.1136/jnnp.66.3.357.
Abstract
OBJECTIVES
To describe the clinical and neuroradiological features of basilar impression in patients with osteogenesis imperfecta type IV.
METHODS
Four patients with basilar impression were ascertained in a population study of osteogenesis imperfecta. All four had detailed clinical and neuroradiological examination with both CT and MRI of the craniocervical junction and posterior fossa structures.
RESULTS
All four showed significant compression of the posterior fossa structures and surgical decompression was performed with relief of symptoms.
CONCLUSION
Symptoms of cough headache and trigeminal neuralgia occurring in patients with osteogenesis imperfecta are indications for detailed clinical and neuroradiological investigation to document basilar impression.
摘要
目的
描述IV型成骨不全患者颅底陷入症的临床和神经放射学特征。
方法
在一项成骨不全的人群研究中确定了4例颅底陷入症患者。所有4例患者均对颅颈交界区和后颅窝结构进行了详细的临床检查以及CT和MRI神经放射学检查。
结果
所有4例均显示后颅窝结构明显受压，并进行了手术减压，症状得到缓解。
结论
成骨不全患者出现咳嗽性头痛和三叉神经痛症状是进行详细临床和神经放射学检查以记录颅底陷入症的指征。
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