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[成骨不全症中颅骨骨质增生性病变的罕见观察]

[Rare observation of hyperostotic cranial lesions in osteogenesis imperfecta].

作者信息

Kadasheva A B, Cherekaev V A, Arutiunov N V, Galkin M V

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 2010 Apr-Jun(2):24-8; discussion 29.

Abstract

A rare case of hyperostotic skull deformity in a patient with congenital bone defect--osteogenesis imperfecta--is described. In this case typical symptoms encountered in adults were observed: decreased body length caused by shortened extremities due to multiple pathological fractures in childhood, deformities of thorax, spine, facial bones and teeth, skull lesions with craniobasal and brainstem symptoms, bluish hue of sclera, hypoacusis etc.). In this patient non-typical abnormalities were found: visual deficit due to optic nerve atrophy caused by bilateral optic canal stenosis on the background of densitometrically proven hyperostotic skull base deformity.

摘要

本文描述了一例患有先天性骨缺损——成骨不全症的患者出现颅骨骨质增生畸形的罕见病例。在该病例中,观察到了成年人中出现的典型症状:童年时期因多处病理性骨折导致四肢缩短,进而引起身高降低,胸廓、脊柱、面部骨骼和牙齿畸形,伴有颅底和脑干症状的颅骨病变,巩膜发蓝,听力减退等。在该患者中还发现了非典型异常:在经骨密度测定证实的颅骨基底骨质增生畸形背景下,双侧视神经管狭窄导致视神经萎缩,进而出现视力缺陷。

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