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新生儿先天性鼻内脑膜膨出——病例报告

Congenital intranasal meningocele in a newborn - case raport.

作者信息

Wodzińska Ewa, Jończyk-Potoczna Katarzyna, Warzywoda Małgorzata, Nowakowska Katarzyna, Pawlak Bogdan

机构信息

Institute of Pediatric Radiology, Radiology Department, Poznań University of Medical Sciences, Poznań, Poland.

出版信息

Pol J Radiol. 2011 Apr;76(2):52-5.

Abstract

BACKGROUND

Meningocele or meningocephalocele is a rare defect, which consists in the displacement of the structures of the brain or/and meninges through a congenital cavity in the cranium. Depending on the location, there are hernias of the skull vault and base or external and internal hernias. Some of them can cause breathing disorders in children.

CASE REPORT

We described a case of an eutrophic, full-term newborn boy with breathing disorders. A laryngological examination found a tumor of the left nasal meatus, from which a sample was collected for histopathological study. Due to a cyst revealed under the lesion and pulsation of the tumor, it was decided to include imaging examinations into the diagnostic process. Computed tomography (CT) showed a mass of meningocele type, which was confirmed in magnetic resonance imaging (MRI).

RESULTS

In case of breathing disorders and a suspected mass in the nasal meatus in a newborn, a congenital meningocele or menigocephalocele should be assumed. This constitutes a contraindication to sampling of the lesion, without prior imaging tests (CT and/or MRI).

摘要

背景

脑脊膜膨出或脑膜脑膨出是一种罕见的缺陷,其特征是脑结构或/和脑膜通过颅骨上的先天性腔隙移位。根据位置不同,有颅顶和颅底疝或外部和内部疝。其中一些可导致儿童呼吸障碍。

病例报告

我们描述了一例营养良好、足月出生的患有呼吸障碍的男婴病例。喉镜检查发现左侧鼻道有一个肿瘤,并采集了样本进行组织病理学研究。由于病变下方发现囊肿且肿瘤有搏动,决定在诊断过程中进行影像学检查。计算机断层扫描(CT)显示为脑脊膜膨出型肿块,磁共振成像(MRI)证实了这一点。

结果

对于新生儿出现呼吸障碍且怀疑鼻道有肿块的情况,应考虑先天性脑脊膜膨出或脑膜脑膨出。在未进行术前影像学检查(CT和/或MRI)的情况下,这构成了病变取样的禁忌证。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bb5f/3389919/cde5337048f2/poljradiol-76-2-52-g001.jpg

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