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一名儿童复发性脑膜炎伴上呼吸道梗阻:额鼻脑膨出——病例报告

Recurrent meningitis with upper airway obstruction in a child: frontonasal encephalocele- a case report.

作者信息

Sachdeva Soumya, Kapoor Rohit, Paul Premila, Yadav Rakesh

机构信息

Intern, Department of Pediatrics, Vardhman Mahavir Medical College and Safdarjang Hospital , New Delhi, India .

Medical Officer, Department of Pediatrics, Government of India .

出版信息

J Clin Diagn Res. 2014 Aug;8(8):PD01-2. doi: 10.7860/JCDR/2014/9262.4749. Epub 2014 Aug 20.

Abstract

Nasal encephalocele are rare congenital anomalies; these benign masses may be confused with nasal dermoids, hemangiomas, nasal gliomas and anterior skull base masses. These lesions have concomitant defects in the anterior cranial fossa thus this potential communication can cause recurrent episodes of meningitis and/or difficulty in breathing and cosmetic anomalies. We bring a case of a 6-year-old child who presented to the clinic with multiple episodes of meningitis which was associated with nasal discharge. The imaging studies and nasal fluid analysis confirmed it as cerebrospinal fluid; subsequently imaging findings concluded it as frontonasal encephalocele which was later resected and patient showed improvement.

摘要

鼻内脑膨出是罕见的先天性异常;这些良性肿物可能会与鼻皮样囊肿、血管瘤、鼻胶质瘤及前颅底肿物相混淆。这些病变在前颅窝伴有缺损,因此这种潜在的连通可导致脑膜炎反复发作和/或呼吸困难及外观异常。我们报告一例6岁儿童,因多次发生与鼻分泌物相关的脑膜炎前来就诊。影像学检查和鼻分泌物分析证实其为脑脊液;随后影像学检查结果确诊为鼻额部脑膨出,该患儿后来接受了手术切除,病情有所改善。

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