Brown Finlay, Vahidassr Djamil
General Practice, Northern Ireland Medical and Dental Training Agency, Belfast, UK.
Care of The Elderly and Stroke, Antrim Area Hospital, Antrim, Co Antrim, UK.
BMJ Case Rep. 2018 Feb 27;2018:bcr-2017-222892. doi: 10.1136/bcr-2017-222892.
An 84-year-old man presented to the emergency department following recurrent falls over several weeks and onset of new left-sided weakness. CT of the brain revealed a large air cavity (pneumatocoele) in the right frontal lobe thought to be secondary to an ethmoidal osteoma communicating through the cribriform plate allowing air to be forced into the skull under pressure. Subsequent MRI confirmed these findings and also revealed a small focal area of acute infarction in the adjacent corpus callosum. The patient had a prolonged hospital stay, declined neurosurgical intervention and was discharged home on secondary stroke prevention.
一名84岁男性因数周内反复跌倒及新发左侧肢体无力而就诊于急诊科。脑部CT显示右侧额叶有一个大气腔(肺气囊肿),推测是由于筛骨骨瘤通过筛板相通,在压力作用下使空气进入颅骨所致。随后的MRI证实了这些发现,还显示相邻胼胝体有一个小的局灶性急性梗死灶。患者住院时间延长,拒绝神经外科干预,出院时接受二级预防卒中治疗。