[自发性耳源性气颅]

[Spontaneous otogenic pneumocephalus].

作者信息

Bahloul K, Kalamarides M, Bouccara D, Sterkers O, Rey A

机构信息

Service de Neurochirurgie, Hôpital Beaujon, AP-HP, Faculté X-Bichat, Université Paris-7, Clichy.

出版信息

Neurochirurgie. 2003 May;49(2-3 Pt 1):110-3.

PMID:12746727

Abstract

Otogenic pneumocephalus is uncommon. Typical causes include trauma, tumor, infection, and nasosinusal or mastoid surgery but spontaneous otogenic pneumocephalus is very exceptional. We report a case of spontaneous otogenic pneumocephalus located in the left temporal lobe revealed by sudden onset aphasia. The temporal pneumatocele was cured through an epidural subtemporal approach with needle puncture of the aeroma and duroplasty. Two years after surgery, no recurrence was observed and the patient remained symptom free.

摘要

耳源性气颅并不常见。典型病因包括外伤、肿瘤、感染以及鼻窦或乳突手术，但自发性耳源性气颅极为罕见。我们报告一例因突发失语症而发现的位于左侧颞叶的自发性耳源性气颅病例。通过硬膜外颞下入路、气瘤穿刺及硬脑膜成形术治愈了颞部气囊肿。术后两年，未见复发，患者症状消失。