只是另一例细菌性脑膜炎……或者……真的是这样吗？
Just another case of bacterial meningitis… or… is it?
作者信息
Bondugulapati L N R, Gilkes C E
机构信息
Cardiff University, Cardiff, UK.
Division of Endocrinology, Wrexham Maelor Hospital, Wrexham, UK.
出版信息
BMJ Case Rep. 2018 Jun 29;2018:bcr-2018-225344. doi: 10.1136/bcr-2018-225344.
Abstract
Non-traumatic cerebrospinal fluid (CSF) rhinorrhoea is a rare condition. We describe a case of a 62-year-old woman with pneumococcal bacterial meningitis who later was found to have CSF rhinorrhoea secondary to an eroding skull base tumour, which was proven to be pituitary macroadenoma on biopsy. She recovered well from meningitis without any neurological sequelae and underwent trans-sphenoidal surgery for tumour removal as well as dural repair.
摘要
非创伤性脑脊液鼻漏是一种罕见的病症。我们描述了一例62岁女性患者，她患有肺炎球菌性细菌性脑膜炎，后来被发现因颅底肿瘤侵蚀导致脑脊液鼻漏，活检证实该肿瘤为垂体大腺瘤。她从脑膜炎中康复良好，没有任何神经后遗症，并接受了经蝶窦手术以切除肿瘤并进行硬脑膜修复。
相似文献
1
Just another case of bacterial meningitis… or… is it?只是另一例细菌性脑膜炎……或者……真的是这样吗？
BMJ Case Rep. 2018 Jun 29;2018:bcr-2018-225344. doi: 10.1136/bcr-2018-225344.
2
Giant invasive basal skull prolactinoma with CSF rhinorrhoea and meningitis.
Clin Neurol Neurosurg. 2014 May;120:145-6. doi: 10.1016/j.clineuro.2014.02.028. Epub 2014 Mar 13.
3
[A case of chordoma presenting as recurrent bacterial meningitis with cerebrospinal fluid leakage].[一例表现为复发性细菌性脑膜炎伴脑脊液漏的脊索瘤病例]
Rinsho Shinkeigaku. 2019 May 28;59(5):264-267. doi: 10.5692/clinicalneurol.cn-001272. Epub 2019 Apr 26.
4
CSF rhinorrhoea following treatment with dopamine agonists for massive invasive prolactinomas.使用多巴胺激动剂治疗巨大侵袭性泌乳素瘤后出现脑脊液鼻漏。
Clin Endocrinol (Oxf). 2000 Jan;52(1):43-9. doi: 10.1046/j.1365-2265.2000.00901.x.
5
Cerebrospinal fluid fistula as the presenting manifestation of pituitary adenoma: case report with a 4-year follow-up.脑脊液瘘作为垂体腺瘤的首发表现：病例报告及4年随访
Arq Neuropsiquiatr. 2001 Jun;59(2-A):263-5. doi: 10.1590/s0004-282x2001000200023.
6
[Pituitary adenoma with initial symptom of cerebrospinal fluid rhinorrhea: a case report].[以脑脊液鼻漏为首发症状的垂体腺瘤：一例报告]
Lin Chuang Er Bi Yan Hou Tou Jing Wai Ke Za Zhi. 2014 Sep;28(17):1358-9.
7
Rhinorrhoea as the presenting symptom of pituitary adenoma.鼻漏作为垂体腺瘤的首发症状。
Clin Neurol Neurosurg. 1984;86(1):47-9. doi: 10.1016/0303-8467(84)90278-6.
8
Ectopic Prolactinoma Presenting as Bacterial Meningitis: A Diagnostic Conundrum.表现为细菌性脑膜炎的异位泌乳素瘤：一个诊断难题。
World Neurosurg. 2018 Apr;112:227-231. doi: 10.1016/j.wneu.2018.01.112. Epub 2018 Jan 31.
9
Cerebrospinal fluid rhinorrhoea in pituitary tumours.垂体瘤中的脑脊液鼻漏
J R Soc Med. 1980 Apr;73(4):244-54. doi: 10.1177/014107688007300407.
10
[Sphenoidal fistulas and hypophyseal adenomas].[蝶窦瘘管与垂体腺瘤]
Rev Otoneuroophtalmol. 1974 Jul-Sep;46(4):355-65.
本文引用的文献
1
Identification and repair of intraoperative cerebrospinal fluid leaks in endonasal transsphenoidal pituitary surgery: surgical experience in a series of 1002 patients.经鼻蝶窦垂体手术中脑脊液漏的识别与修复：1002 例患者系列手术经验。
J Neurosurg. 2018 Aug;129(2):425-429. doi: 10.3171/2017.4.JNS162451. Epub 2017 Sep 29.
2
Delayed Cerebrospinal Fluid Rhinorrhea After Gamma Knife Radiosurgery with or without Preceding Transsphenoidal Resection for Pituitary Pathology.垂体病变经蝶窦切除术前后接受伽玛刀放射外科治疗后出现的迟发性脑脊液鼻漏
World Neurosurg. 2017 Apr;100:201-207. doi: 10.1016/j.wneu.2017.01.001. Epub 2017 Jan 9.
3
Acute bacterial meningitis in adults.成人急性细菌性脑膜炎。
Lancet. 2016 Dec 17;388(10063):3036-3047. doi: 10.1016/S0140-6736(16)30654-7. Epub 2016 Jun 2.
4
Spontaneous CSF Rhinorrhea Our Experience.自发性脑脊液鼻漏：我们的经验
Indian J Otolaryngol Head Neck Surg. 2016 Mar;68(1):126-9. doi: 10.1007/s12070-015-0963-z. Epub 2016 Jan 4.
5
Late Onset of CSF Rhinorrhea in a Postoperative Transsphenoidal Surgery Patient Following Robotic-Assisted Abdominal Hysterectomy.机器人辅助腹部子宫切除术后经蝶窦手术患者迟发性脑脊液鼻漏
J Investig Med High Impact Case Rep. 2014 Jan 24;2(1):2324709614520982. doi: 10.1177/2324709614520982. eCollection 2014 Jan-Mar.
6
Delayed presentation of late-onset cerebrospinal fluid rhinorrhoea following dopamine agonist therapy for giant prolactinoma.多巴胺激动剂治疗巨大泌乳素瘤后迟发性脑脊液鼻漏的延迟表现
Endocrinol Diabetes Metab Case Rep. 2014;2014:140020. doi: 10.1530/EDM-14-0020. Epub 2014 Nov 1.
7
Spontaneous and medically induced cerebrospinal fluid leakage in the setting of pituitary adenomas: review of the literature.垂体腺瘤患者并发自发性和医源性脑脊液漏：文献复习。
Neurosurg Focus. 2012 Jun;32(6):E2. doi: 10.3171/2012.4.FOCUS1268.
8
Low meningitis-incidence in primary spontaneous compared to secondary cerebrospinal fluid rhinorrhoea.原发性自发性脑脊液鼻漏比继发性脑脊液鼻漏的脑膜炎发病率低。
Rhinology. 2012 Mar;50(1):73-9. doi: 10.4193/Rhino11.124.
9
Spontaneous cerebrospinal fluid rhinorrhea as the initial presentation of growth hormone-secreting pituitary adenoma.自发性脑脊液鼻漏为生长激素分泌型垂体腺瘤的首发表现。
Am J Otolaryngol. 2011 Sep-Oct;32(5):433-7. doi: 10.1016/j.amjoto.2010.07.012. Epub 2010 Oct 2.
10
Beta-2-transferrin and cerebrospinal fluid rhinorrhoea.β-2-转铁蛋白与脑脊液鼻漏
Clin Otolaryngol Allied Sci. 1996 Jun;21(3):259-64. doi: 10.1111/j.1365-2273.1996.tb01737.x.
Zotero 插件