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一名儿童患腮腺炎感染相关的假性肿瘤性急性小脑炎。

Pseudotumoral acute cerebellitis associated with mumps infection in a child.

作者信息

Ajmi Houda, Gaha Mehdi, Mabrouk Sameh, Hassayoun Saida, Zouari Noura, Chemli Jalel, Abroug Saoussen

机构信息

Houda Ajmi, Sameh Mabrouk, Saida Hassayoun, Noura Zouari, Jalel Chemli, Saoussen Abroug, Pediatrics Department, Sahloul University Hospital, Sousse 4054, Tunisia.

出版信息

World J Clin Cases. 2017 Aug 16;5(8):340-343. doi: 10.12998/wjcc.v5.i8.340.

Abstract

Pseudotumoral cerebellitis in childhood is an uncommon presentation of cerebellitis mimicking a brain tumor. It often follows an inflammatory or infectious event, particularly due to varicella virus. Patients could have a wide clinical spectrum on presentation. Some patients may be asymptomatic or present at most with mild cerebellar signs, whereas others may suffer severe forms with brainstem involvement and severe intracranial hypertension mimicking tumor warranting surgical intervention. Imaging techniques especially multimodal magnetic resonance imaging represent an interesting tool to differentiate between posterior fossa tumors and acute cerebellitis. We describe a case of pseudotumoral cerebellitis in a 6-year-old girl consequent to mumps infection and review the literature on this rare association.

摘要

儿童假性肿瘤性小脑炎是一种罕见的小脑炎表现,酷似脑肿瘤。它常继发于炎症或感染事件,尤其是水痘病毒感染。患者就诊时临床表现多样。一些患者可能无症状或最多仅有轻微的小脑体征,而另一些患者可能病情严重,累及脑干并出现严重的颅内高压,类似肿瘤,需要手术干预。影像学技术,尤其是多模态磁共振成像,是区分后颅窝肿瘤和急性小脑炎的重要工具。我们报告一例6岁女童因腮腺炎感染导致的假性肿瘤性小脑炎病例,并复习关于这种罕见关联的文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/afc3/5561503/98994ad3d100/WJCC-5-340-g001.jpg

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