Fernandes Cecilia, Agrawal Ayushi, Shreshtha Binod Bade, Yogi Nikunj, Cherian Iype
Department of Neurosurgery, Manipal College of Medical Sciences, Pokhara, Nepal.
BMJ Case Rep. 2010 Dec 1;2010:bcr0620103117. doi: 10.1136/bcr.06.2010.3117.
A 12-year-old girl presented to Manipal Teaching Hospital with quadriparesis of 8 months' duration. Examination revealed a hyperpigmented patch over the chest wall with overlying hypertrichosis, musculoskeletal anomalies, upper limb asymmetry and ipsilateral breast hypoplasia. MRI scan revealed cranio-vertebral junction anomaly and spina bifida occulta at the cervical spine level. Histopathological examination of the skin revealed findings consistent with Becker's nevus. Based on the patient's clinical presentation and investigations, a diagnosis of Becker's nevus syndrome was made. However, she was managed conservatively as surgical intervention was not suitable in her case. The authors review Becker's nevus syndrome and its clinical manifestations below.
一名12岁女孩因持续8个月的四肢瘫痪入住马尼帕尔教学医院。检查发现胸壁有色素沉着过度斑块，其上有毛发过多、肌肉骨骼异常、上肢不对称和同侧乳房发育不全。MRI扫描显示颅颈交界区异常和颈椎水平隐性脊柱裂。皮肤组织病理学检查结果与贝克尔痣一致。根据患者的临床表现和检查，诊断为贝克尔痣综合征。然而，由于手术干预对她的情况不适用，她接受了保守治疗。作者在下文回顾了贝克尔痣综合征及其临床表现。
