蝶窦内脑膨出：急诊科的偶然发现。
Intrasphenoidal encephalocele: an incidental finding in emergency department.
作者信息
Waseem Muhammad, Upadhyay Ruchi, Al-Husayni Husayn, Agyare Samuel
机构信息
Lincoln Medical & Mental Health Center, 234 East 149th Street, Bronx, NY 10451, USA.
出版信息
Int J Emerg Med. 2013 Dec 5;6(1):45. doi: 10.1186/1865-1380-6-45.
BACKGROUND
Basal encephaloceles are rare clinical entities. Intrasphenoidal encephalocele (ISE) is a rare form of basal encephalocele. The clinical presentation is often subtle and may remain undetected. Only a limited number of cases of ISE have been reported, mostly in middle-aged patients who presented with symptoms. Clinical diagnosis and management remain a challenge. Our case reports ISE as an incidental finding in a very elderly male patient.
FINDINGS
We present a case of ISE discovered as an incidental finding in a 99-year-old male who presented to the emergency department (ED) after a fall from bed. The encephalocele was discovered in the evaluation of the computed tomography (CT) scan of the head.
CONCLUSION
This is an incidental manifestation of a rare disease. It demonstrates that these encephaloceles may not manifest clinically or symptomatically as other reports have suggested.
背景
基底脑膨出是一种罕见的临床病症。蝶窦内脑膨出（ISE）是基底脑膨出的一种罕见形式。其临床表现通常不明显，可能一直未被发现。仅有少数ISE病例被报道，大多是有症状表现的中年患者。临床诊断和治疗仍然是一项挑战。我们的病例报告了一名非常老年男性患者偶然发现的ISE。
发现
我们报告一例ISE病例，该病例是在一名99岁男性从床上摔下后到急诊科就诊时偶然发现的。脑膨出是在头部计算机断层扫描（CT）检查评估中发现的。
结论
这是一种罕见疾病的偶然表现。它表明这些脑膨出可能不会像其他报告所提示的那样出现临床症状或症状性表现。
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