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无脑儿与长期生存:一例罕见病例报告

Iniencephaly and long-term survival: a rare case report.

作者信息

Aytar Murat Hamit, Doğulu Fikret, Cemil Berker, Ergün Ertan, Kurt Gökhan, Baykaner Kemali

机构信息

Faculty of Medicine, Department of Neurosurgery, Gazi University, Ankara, Turkey.

出版信息

Childs Nerv Syst. 2007 Jun;23(6):719-21. doi: 10.1007/s00381-007-0309-6. Epub 2007 Mar 16.

Abstract

INTRODUCTION

Iniencephaly, a neural tube defect involving occiput and inion and combined with rachischisis of the cervical, thoracic spine, and retroflexion position of the head is a very rare congenital abnormality of the fetus-newborn with a 0.1-10 of 10,000 prevalence. This abnormality's prognosis is thought to be dismal. This abnormality can be associated with other abnormalities such as anencephaly, encephalocele, hydrocephalus, cyclopia, absence of the mandible, cleft lip and palate, cardiovascular disorders, diaphragmatic hernia, renal abnormalities, overgrowth of the arms compared to the legs, and club food and gastrointestinal atresia.

DISCUSSION

Most of the patients are dead born, and the others die in a few hours. There are only six previously documented long-term survivors. In our case, our patient with iniencephalic signs and findings is still living. She is 2 years old now. We think that this patient presents a mild form of iniencephaly.

摘要

引言

无脑后凸畸形是一种神经管缺陷,累及枕骨和枕外隆凸,并伴有颈胸椎脊柱裂和头部后屈位,是一种极为罕见的胎儿 - 新生儿先天性异常,患病率为万分之0.1 - 10。这种异常的预后被认为很糟糕。它可能与其他异常相关,如无脑儿、脑膨出、脑积水、独眼畸形、下颌骨缺失、唇腭裂、心血管疾病、膈疝、肾脏异常、上肢相对于下肢过度生长、马蹄内翻足和胃肠道闭锁。

讨论

大多数患者为死产,其他患者在数小时内死亡。此前仅有6例有长期存活记录。在我们的病例中,我们这位有无脑后凸畸形体征和表现的患者仍然存活。她现在2岁。我们认为该患者呈现的是无脑后凸畸形的轻度形式。

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