小儿双侧展神经麻痹提示蝶枕软骨结合二分骨折：基于病例的最新进展
Bilateral abducens paralysis revealing bipartite spheno-occipital synchondrosis fracture in a child: case based update.
作者信息
Nicot Benjamin, Peltier Johann, Capel Cyrille, Lefranc Michel, Fichten Anthony, Desenclos Christine, Toussaint Patrick, Le Gars Daniel
机构信息
Department of Neurosurgery, Amiens University Hospital, 80054 Amiens cedex 1, France.
出版信息
Childs Nerv Syst. 2012 Apr;28(4):511-3. doi: 10.1007/s00381-011-1678-4. Epub 2012 Jan 15.
BACKGROUND
After reviewing the literature about sella turcica and spheno-occipital synchondrosis fracture, we present the case of a 6-year-old girl who suffered complex sphenoid bone fracture produced by an indirect mechanism.
METHODS
The girl fell from her height after a blunt head injury due to a falling lamppost.
RESULTS
Computer tomography (CT) scan showed occipital, sellar and clival fractures with pneumatocephalus. The probable fracture mechanism is contre-coup injury linked to osseous and brain oscillations after head trauma.
CONCLUSION
Two complications, abducens nerve palsy and cerebrospinal fluid fistula, are observed and discussed.
背景
在回顾了有关蝶鞍和蝶枕软骨结合处骨折的文献后，我们报告了一例6岁女孩因间接机制导致复杂蝶骨骨折的病例。
方法
该女孩因灯柱倒下导致钝性头部受伤后从高处跌落。
结果
计算机断层扫描（CT）显示枕骨、蝶鞍和斜坡骨折并伴有气颅。可能的骨折机制是头部外伤后与骨和脑震荡相关的对冲伤。
结论
观察并讨论了两个并发症，即外展神经麻痹和脑脊液瘘。
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