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肥厚性肉芽肿性颅骨硬脑膜炎导致一名慢性透析患者逐渐失明。

Hypertrophic granulomatous cranial pachymeningitis causing progressive blindness in a chronic dialysis patient.

作者信息

Feringa E R, Weatherbee L

出版信息

J Neurol Neurosurg Psychiatry. 1975 Dec;38(12):1170-6. doi: 10.1136/jnnp.38.12.1170.

Abstract

A patient on chronic haemodialysis because of renal failure developed progressive visual field loss and eventual blindness. A postmortem examination indicated that the blindness was caused by granulomatous thickening of the pachymeninges which constricted the optic nerves as they passed through the optic foramina. Exhaustive bacteriological and histopathological studies failed to identify a specific cause for this hypertrophic cranial pachymeningitis.

摘要

一名因肾衰竭接受慢性血液透析的患者出现了进行性视野缺损并最终失明。尸检表明,失明是由于硬脑膜肉芽肿性增厚,在视神经穿过视神经孔时对视神经造成压迫所致。详尽的细菌学和组织病理学研究未能确定这种肥厚性颅骨硬脑膜炎的具体病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7205/492183/5bdbe4d4768b/jnnpsyc00186-0029-a.jpg

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