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癫痫发作的罕见病因:波特氏浮肿性肿瘤。

Unusual Cause of Seizure: Pott Puffy Tumor.

作者信息

Sade Recep, Polat Gokhan, Kantarci Mecit

机构信息

Department of Radiology, Medical Faculty, Ataturk University, Erzurum, Turkey.

出版信息

J Craniofac Surg. 2016 Sep;27(6):e548-9. doi: 10.1097/SCS.0000000000002860.

Abstract

Seizures is a comparatively common neurologic unwellness in children that has significant implications for development, parents, and society. The etiologic categories of seizures involve idiopathic, symptomatic, and cryptogenic. Pott puff tumor is a rare cause of seizures. The authors present a rare cause of the seizures.A 12-year-old boy presented with seizures. On physical examination there was swelling on his glabella. Laboratory testing indicated leukocytosis and increased C-reactive protein, and microbiological testing showed the presence of pathogenic streptococcus sp. Brain magnetic resonance imaging was performed. T1-weighted image with gadolinium enhancement revealed frontal bone defects and subcutaneous abscess and left frontal swelling. On the diffusion-weighted imaging, the abscess has relatively homogeneous increased signal intensity b1000. The apparent diffusion coefficient map reveals low intensity. Intracranial spread also showed contrast-enhanced image (). Magnetic resonance imaging typically reveals an intracranial abscess.Pott puffy tumor is an unusual clinical existence characterized by osteomyelitis of the frontal bone. The very common symptoms are headache, swelling fever, and nasal discharge. Frontal sinus infection may induce osteomyelitis, subperiosteal, and epidural abscess.

摘要

癫痫发作是儿童中较为常见的神经系统疾病,对儿童发育、家长及社会都有重大影响。癫痫发作的病因分类包括特发性、症状性和隐源性。波特氏浮肿性骨炎是癫痫发作的罕见病因。作者介绍了一种癫痫发作的罕见病因。一名12岁男孩出现癫痫发作。体格检查发现其眉间肿胀。实验室检查显示白细胞增多和C反应蛋白升高,微生物学检查发现有致病性链球菌。进行了脑部磁共振成像检查。钆增强T1加权图像显示额骨缺损、皮下脓肿和左额叶肿胀。在扩散加权成像上,脓肿在b1000时信号强度相对均匀增加。表观扩散系数图显示低强度。颅内扩散也显示出对比增强图像()。磁共振成像通常显示颅内脓肿。波特氏浮肿性骨炎是一种不寻常的临床病症,其特征为额骨骨髓炎。常见症状为头痛、肿胀、发热和流涕。额窦感染可能诱发骨髓炎、骨膜下和硬膜外脓肿。

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