表现为四肢瘫痪的背侧皮肤窦道。
Dorsal dermal sinus presenting as quadriparesis.
作者信息
Majumdar Ishita, Kundu Ritabrata, Das Joydeep, Mukherjee Devdeep
机构信息
Pediatrics, Institute of Child Health, Kolkata, India.
Royal Manchester Children's Hospital, Manchester, UK.
出版信息
BMJ Case Rep. 2019 Jun 29;12(6):e228503. doi: 10.1136/bcr-2018-228503.
Dorsal dermal sinus (DDS) represents the spectrum of spinal dysraphism. Children may present with features of meningitis. A 13-month male child presented with features of meningitis and quadriparesis. Clinical examination revealed a small pit over the thoracic spine. MRI was suggestive of a DDS. Initially, the patient responded to antibiotics and methylprednisolone, which was given for resolving the mass effect. However, he had a recurrence of symptoms and underwent surgical exploration and resection of DSS with resolution of symptoms. Careful examination of the back is extremely essential in children with meningitis. Radiological investigation helps in visualisation of the DSS. Although rare in children, they may present with recurrent meningitis.
背侧皮样窦（DDS）代表脊柱闭合不全的一系列病症。儿童可能表现出脑膜炎的特征。一名13个月大的男童出现脑膜炎和四肢瘫痪的症状。临床检查发现胸椎处有一个小坑。磁共振成像（MRI）提示为背侧皮样窦。起初，患者对抗生素和甲泼尼龙有反应，给予甲泼尼龙是为了消除肿块效应。然而，他症状复发，接受了手术探查并切除背侧皮样窦，症状得以缓解。对于患有脑膜炎的儿童，仔细检查背部极为重要。影像学检查有助于观察背侧皮样窦。虽然在儿童中罕见，但他们可能会反复出现脑膜炎。
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