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以偏瘫和失语为表现的头部炎性假瘤。

Inflammatory pseudotumor of the head presenting with hemiparesis and aphasia.

作者信息

Saifudheen K, Jose James, Gafoor V Abdul

机构信息

Department of Neurology, Medical College, Calicut 8, Kerala 673008, India.

出版信息

Case Rep Neurol Med. 2011;2011:176546. doi: 10.1155/2011/176546. Epub 2011 Jul 14.

DOI:10.1155/2011/176546
PMID:22937331
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3420747/
Abstract

Inflammatory pseudotumor most commonly occurs in the orbit and produces orbital pseudotumor, but extension into brain parenchyma is uncommon. We report a case of inflammatory pseudotumor involving sphenoid sinus, cavernous sinus, superior orbital fissure, orbital muscle, and intracranial extension into left temporal lobe producing right hemiparesis and wernicke's aphasia. The patient improved clinically and radiologically with steroid administration. This paper provides an insight into the spectrum of involvement of inflammatory pseudotumor and the importance of early diagnosis of the benign condition.

摘要

炎性假瘤最常发生于眼眶并导致眼眶假瘤，但延伸至脑实质并不常见。我们报告一例炎性假瘤累及蝶窦、海绵窦、眶上裂、眼外肌，并向颅内延伸至左侧颞叶，导致右侧偏瘫和韦尼克失语症。该患者经类固醇治疗后临床及影像学表现均有改善。本文深入探讨了炎性假瘤的累及范围及早期诊断这种良性疾病的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d898/3420747/ce938bedb670/CRIM.NM2011-176546.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d898/3420747/69373e3810cb/CRIM.NM2011-176546.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d898/3420747/b14fa7bf32f8/CRIM.NM2011-176546.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d898/3420747/5580ee1f6a1c/CRIM.NM2011-176546.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d898/3420747/0bdf63ad83c2/CRIM.NM2011-176546.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d898/3420747/ce938bedb670/CRIM.NM2011-176546.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d898/3420747/69373e3810cb/CRIM.NM2011-176546.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d898/3420747/b14fa7bf32f8/CRIM.NM2011-176546.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d898/3420747/5580ee1f6a1c/CRIM.NM2011-176546.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d898/3420747/0bdf63ad83c2/CRIM.NM2011-176546.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d898/3420747/ce938bedb670/CRIM.NM2011-176546.005.jpg

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引用本文的文献

1
Intracranial extension of orbital inflammatory pseudotumor: a case report and literature review.眼眶炎性假瘤的颅内蔓延：一例报告及文献复习
BMC Neurol. 2016 Feb 29;16:29. doi: 10.1186/s12883-016-0550-2.
2
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本文引用的文献

1
Inflammatory myofibroblastic tumor of the orbit with associated enhancement of the meninges and multiple cranial nerves.眼眶炎性肌纤维母细胞瘤伴脑膜及多条颅神经强化。
AJNR Am J Neuroradiol. 2006 Nov-Dec;27(10):2217-20.
2
MR imaging of orbital inflammatory pseudotumors with extraorbital extension.眼眶炎性假瘤眶外蔓延的磁共振成像
Korean J Radiol. 2005 Apr-Jun;6(2):82-8. doi: 10.3348/kjr.2005.6.2.82.
3
Inflammatory orbital pseudotumor with extension beyond the orbit.炎症性眼眶假瘤伴眶外蔓延。
Am J Ophthalmol. 2004 Sep;138(3):396-400. doi: 10.1016/j.ajo.2004.04.026.
4
Inflammatory pseudotumor.炎性假瘤
Radiographics. 2003 May-Jun;23(3):719-29. doi: 10.1148/rg.233025073.
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A case report of inflammatory pseudotumor involving the clivus: CT and MR findings.1例累及斜坡的炎性假瘤病例报告：CT与MR表现
Korean J Radiol. 2001 Oct-Dec;2(4):231-4. doi: 10.3348/kjr.2001.2.4.231.
6
Extraorbital inflammatory pseudotumor of the head and neck: CT and MR findings in three patients.头颈部眶外炎性假瘤：3例患者的CT和MR表现
AJNR Am J Neuroradiol. 1999 Jun-Jul;20(6):1133-9.
7
Inflammatory pseudotumor of the choroid plexus.脉络丛炎性假瘤。
AJNR Am J Neuroradiol. 1997 Aug;18(7):1307-9.