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广泛型先天性皮肤发育不全伴头颅比例失调及脑膨出。

Extensive aplasia cutis congenita associated with cephalocranial disproportion and brain extrusion.

作者信息

Torkamand Farbod, Ayati Aryan, Habibi Zohreh, Nejat Farideh

机构信息

Department of Neurosurgery, Children's Medical Center, Tehran University of Medical Sciences, No 62, Qarib St., Keshavarz Blvd., Tehran, 1419733151, Iran.

出版信息

Childs Nerv Syst. 2019 Sep;35(9):1629-1632. doi: 10.1007/s00381-019-04188-y. Epub 2019 May 28.

DOI:10.1007/s00381-019-04188-y
PMID:31139904
Abstract

Aplasia cutis congenita (ACC) is a rare congenital disorder which can be linked with a variety of other abnormalities. However, the association of this anomaly with cephalocranial disproportion and brain extrusion is rarely reported. In this report, we present a neonate with an extensive ACC with exposed dura mater and sagittal sinus, who later presented with brain extrusion from the defect and an acrocephalic-like feature required decompressive surgery during the first month of life. Theories regarding etiology and progression of acrocephalic feature and brain protrusion in this case have been discussed.

摘要

先天性皮肤发育不全(ACC)是一种罕见的先天性疾病,可与多种其他异常相关联。然而,这种异常与头颅比例失调和脑膨出的关联鲜有报道。在本报告中,我们介绍了一名患有广泛先天性皮肤发育不全且硬脑膜和矢状窦外露的新生儿,该患儿随后出现脑从缺损处膨出以及类似尖头畸形的特征,在出生后的第一个月需要进行减压手术。本文讨论了该病例中尖头畸形特征和脑突出的病因及进展相关理论。

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Childs Nerv Syst. 2019 Sep;35(9):1629-1632. doi: 10.1007/s00381-019-04188-y. Epub 2019 May 28.
2
Aplasia cutis congenita of the scalp, skull and dura associated with Adams-Oliver syndrome.与亚当斯-奥利弗综合征相关的头皮、颅骨和硬脑膜先天性皮肤发育不全。
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引用本文的文献

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Challenges in the management of extensive aplasia cutis congenita.广泛先天性皮肤发育不全的管理挑战。
BMJ Case Rep. 2022 Feb 14;15(2):e246627. doi: 10.1136/bcr-2021-246627.

本文引用的文献

1
Genetics of aplasia cutis reveal novel regulators of skin morphogenesis.先天性皮肤发育不全的遗传学研究揭示了皮肤形态发生的新调控因子。
J Invest Dermatol. 2015 Mar;135(3):666-672. doi: 10.1038/jid.2014.413. Epub 2014 Oct 30.
2
Management of large scalp and skull defects in a severe case of Adams-Oliver syndrome.
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A case of extensive Aplasia Cutis Congenita with underlying skull defect and central nervous system malformation: discussion of large skin defects, complications, treatment and outcome.一例伴有颅骨缺损和中枢神经系统畸形的广泛先天性皮肤发育不全:关于大面积皮肤缺损、并发症、治疗及预后的讨论
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Plast Reconstr Surg. 2008 Oct;122(4):1171-1180. doi: 10.1097/PRS.0b013e3181858c84.
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Early composite cranioplasty in infants with severe aplasia cutis congenita: a report of two cases.严重先天性皮肤发育不全婴儿的早期复合颅骨成形术:两例报告
Cleft Palate Craniofac J. 2005 Jul;42(4):442-7. doi: 10.1597/04-070.1.
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Editorial: perspectives on craniosynostosis.社论:关于颅缝早闭的观点
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J Craniofac Surg. 2002 Jul;13(4):513-9. doi: 10.1097/00001665-200207000-00007.
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Arch Otolaryngol Head Neck Surg. 2001 Jan;127(1):71-4. doi: 10.1001/archotol.127.1.71.
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Craniosynostosis: genes and mechanisms.颅缝早闭:基因与机制
Hum Mol Genet. 1997;6(10):1647-56. doi: 10.1093/hmg/6.10.1647.
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