Cognetti David M, Enochs W Scott, Willcox Thomas O
Departments of Otolaryngology-Head and Neck Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania, USA.
Laryngoscope. 2006 Sep;116(9):1697-9. doi: 10.1097/01.mlg.0000231737.67781.df.
At the conclusion of this paper, the readers should be able to recognize a retropharyngeal pseudomeningocele as a potential complication of atlanto occipital dislocation.
To demonstrate how a retropharyngeal pseudomeningocele may present as dysphagia in a patient who is recovering from atlanto occipital dislocation as well as to discuss the treatment options in this situation.
Case report and literature review.
Analysis of a case through medical record and literature review.
A retropharyngeal pseudomeningocele is a very rare complication of atlanto occipital dislocation. It may develop weeks after the initial injury and can present with respiratory or swallowing difficulties. Decompression via a ventriculoperitoneal or lumboperitoneal shunt facilitates resolution of the cerebral spinal fluid collection.
A retropharyngeal pseudomeningocele should be considered in all patients status post-atlanto occipital dislocation who are experiencing respiratory distress or dysphagia.
在本文结束时，读者应能够认识到咽后假性脑脊膜膨出是寰枕关节脱位的一种潜在并发症。
展示咽后假性脑脊膜膨出在寰枕关节脱位恢复患者中如何表现为吞咽困难，并讨论这种情况下的治疗选择。
病例报告和文献综述。
通过病历分析和文献综述对一例病例进行分析。
咽后假性脑脊膜膨出是寰枕关节脱位非常罕见的并发症。它可能在初次损伤数周后出现，并可表现为呼吸或吞咽困难。通过脑室腹腔或腰腹腔分流减压有助于脑脊液积聚的消退。
对于所有经历呼吸窘迫或吞咽困难的寰枕关节脱位后患者，均应考虑咽后假性脑脊膜膨出。
