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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.

DOI:10.1136/bcr-2018-225344
PMID:29960967
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6040519/
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。

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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？
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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。
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Spontaneous CSF Rhinorrhea Our Experience.自发性脑脊液鼻漏：我们的经验
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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
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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
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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。
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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。
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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。
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Beta-2-transferrin and cerebrospinal fluid rhinorrhoea.β-2-转铁蛋白与脑脊液鼻漏
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