Notermans N C, Gooskens R H, Tulleken C A, Ramos L M
Department of Child Neurology, State University Hospital, Utrecht, The Netherlands.
J Neurosurg. 1990 May;72(5):818-20. doi: 10.3171/jns.1990.72.5.0818.
A child suffered a sixth and seventh cranial nerve palsy due to intracerebral insertion of a stylet. The stylet was introduced through the anterior fontanel, most probably in an attempt at infanticide. The migration of the stylet through the brain was monitored because the child was first examined 6 years earlier. At operation the cranial part of the stylet lay in the fourth ventricle, compressing the facial nerve as well as the nucleus of the abducens nerve. The lower part of the stylet had reached the C-5 level.
一名儿童因颅内插入探针而出现第六和第七颅神经麻痹。探针从前囟门插入,很可能是企图杀害婴儿。由于该儿童早在6年前就接受了首次检查,因此对探针在脑内的移动情况进行了监测。手术时,探针的颅内部位于第四脑室,压迫面神经以及展神经核。探针的下部已到达C-5水平。