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婴儿颅内血肿合并脑脓肿。病例报告。

Intracerebral hematoma complicated with brain abscess in an infant. Case report.

作者信息

Eser Olcay, Cosar Murat, Aslan Adem, Koken Resit, Aktepe Fatma, Eser Betul

机构信息

Department of Neurosurgery, Kocatepe University, Faculty of Medicine, Afyonkarahisar, Turkey.

出版信息

Neurol Med Chir (Tokyo). 2008 Apr;48(4):176-8. doi: 10.2176/nmc.48.176.

Abstract

A 45-day-old infant presented with a rare case of intracerebral hematoma complicated with brain abscess which developed after vitamin K deficiency. He was admitted to our emergency department with complaints of fever and confusion. Physical, neurological, and laboratory examinations and cranial computed tomography identified vitamin K deficiency and intracerebral hematoma. He started to suffer convulsions. The patient underwent surgery. A brain abscess was discovered with an intracerebral hematoma. The intracerebral hematoma and abscess were evacuated and antibiotic therapy was initiated. Convulsions became rare and were controlled with midozalam administration. Follow-up computed tomography after 6 months showed encephalomalacic changes in the temporoparietal area. If feeding depends only on human milk, the amount of vitamin K prophylaxis given to neonates should be increased to support vitamin K related factors.

摘要

一名45天大的婴儿出现了罕见的脑内血肿合并脑脓肿病例,该病症在维生素K缺乏后发生。他因发热和意识模糊被送至我们的急诊科。体格检查、神经检查、实验室检查以及头颅计算机断层扫描确定为维生素K缺乏和脑内血肿。他开始出现惊厥。患者接受了手术。术中发现一个伴有脑内血肿的脑脓肿。脑内血肿和脓肿被清除,并开始使用抗生素治疗。惊厥变得少见,并通过咪达唑仑给药得到控制。6个月后的随访计算机断层扫描显示颞顶叶区域出现脑软化改变。如果仅依靠母乳喂养,应增加给予新生儿的维生素K预防剂量,以维持与维生素K相关的凝血因子水平。

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