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头皮浸润性马乔林溃疡导致烧伤后自发性脑膨出。

Post-burn spontaneous brain fungation caused by infiltrating Marjolin's ulcer of scalp.

作者信息

Bhasme Vishal, Agrawal Manish, Poonia N C, Bagaria H, Chakotiya Pranay

机构信息

Department of Neurosurgery, SMS Medical College, Jaipur, Rajasthan, India.

Department of Plastic Surgery, SMS Medical College, Jaipur, Rajasthan, India.

出版信息

Asian J Neurosurg. 2017 Apr-Jun;12(2):256-258. doi: 10.4103/1793-5482.150220.

DOI:10.4103/1793-5482.150220
PMID:28484545
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5409381/
Abstract

Marjolin's ulcer is a well-recognized, rare, long-term complication of post-burn scar and other chronically irritating local skin conditions. Its infiltration into the skull bones and the underlying dura causing complete destruction is very rare and quiet exceptional. We present an unusual case of spontaneous brain fungation through the scar tissue present over the scalp as a result of flame burn 18 years back. Patient was treated surgically, but expired after 10 days. Though we were not able to save the patient, its presentation was so unique that we want to report this case.

摘要

马乔林溃疡是一种公认的、罕见的烧伤后瘢痕及其他慢性刺激性局部皮肤疾病的长期并发症。其浸润至颅骨及下方硬脑膜并导致完全破坏的情况极为罕见且十分特殊。我们报告一例不同寻常的病例,患者18年前因火焰烧伤,头皮出现瘢痕组织,随后发生自发性脑膨出。患者接受了手术治疗,但术后10天死亡。尽管我们未能挽救该患者,但其临床表现极为独特,因此我们希望报告此病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a3/5409381/992c0265bd96/AJNS-12-256-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a3/5409381/4b450c1e090b/AJNS-12-256-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a3/5409381/372a169fd615/AJNS-12-256-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a3/5409381/3ea6a20bfada/AJNS-12-256-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a3/5409381/992c0265bd96/AJNS-12-256-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a3/5409381/4b450c1e090b/AJNS-12-256-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a3/5409381/372a169fd615/AJNS-12-256-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a3/5409381/3ea6a20bfada/AJNS-12-256-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3a3/5409381/992c0265bd96/AJNS-12-256-g004.jpg

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本文引用的文献

1
Penetrating Marjolin's ulcer of scalp involving bone, dura mater and brain caused by blunt trauma to the burned area.因烧伤部位钝器伤导致的累及颅骨、硬脑膜和脑的头皮穿透性马乔林溃疡。
Neurocirugia (Astur). 2009 Oct;20(5):474-7; discussion 477. doi: 10.1016/s1130-1473(09)70147-2.
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Marjolin's ulcers arising in burn scars.烧伤瘢痕中发生的马乔林溃疡。
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