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儿童轻度创伤性脑损伤后颅内蛛网膜囊肿破裂:我们是否低估了这种风险?

Intracranial arachnoid cyst rupture after mild TBI in children: have we underestimated this risk?

作者信息

Furtado Leopoldo Mandic Ferreira, Costa Val Filho José Aloysio, Ferreira Raquel Ida, Mariano Italo Guilherme Giarola de Freitas

机构信息

Pediatric Neurosurgery, Biocor Instituto, Nova Lima, Brazil.

Neurotraumatology, Fundacao Hospitalar do Estado de Minas Gerais, Belo Horizonte, Brazil.

出版信息

BMJ Case Rep. 2019 Apr 30;12(4):e228790. doi: 10.1136/bcr-2018-228790.

Abstract

The association between intracranial arachnoid cyst rupture and mild brain trauma is infrequently reported. The purpose of this case report is to describe the case of a child with a left temporal arachnoid cyst who suffered rupture with haemorrhage after mild trauma during a football match. The child presented with chronic headache of mild intensity that progressed to a more intense headache after a traumatic event. He underwent surgical intervention after diagnosis of chronic haemorrhage in an arachnoid cyst in the ipsilateral subdural space. The risk of intracranial arachnoid cyst rupture should be considered during the evaluation of oligosymptomatic patients because it is a potentially catastrophic event.

摘要

颅内蛛网膜囊肿破裂与轻度脑外伤之间的关联鲜有报道。本病例报告的目的是描述一名患有左侧颞叶蛛网膜囊肿的儿童,在一场足球比赛中因轻度外伤导致囊肿破裂并出血的病例。该患儿起初有轻度慢性头痛,外伤事件后头痛加剧。在诊断出同侧硬膜下间隙蛛网膜囊肿慢性出血后,他接受了手术干预。在评估症状轻微的患者时,应考虑颅内蛛网膜囊肿破裂的风险,因为这是一个潜在的灾难性事件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d624/6506003/78f04c82d734/bcr-2018-228790f01.jpg

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