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小儿耳源性脑积水:两例罕见病例报告及文献复习。

Pediatric otitic hydrocephalus: Report of two unusual cases and literature review.

机构信息

Department of Pediatric Otorhinolaryngology, Athens Children's Hospital "P. & A. Kyriakou", Athens, Greece.

Department of Pediatric Otorhinolaryngology, Athens Children's Hospital "P. & A. Kyriakou", Athens, Greece.

出版信息

Am J Otolaryngol. 2020 Jul-Aug;41(4):102462. doi: 10.1016/j.amjoto.2020.102462. Epub 2020 Mar 17.

Abstract

Otitic hydrocephalus (OH) comprises a form of benign intracranial hypertension, which is secondary to otogenic lateral sinus thrombosis (LST). Only a small percentage of the patients with otogenic LST go into developing OH, and this may be associated with the multiplicity of anatomic variations of the cerebral venous drainage pathways. We present two pediatric cases of OH, along with a comprehensive review of the relevant literature. Both cases discussed in this article had concomitantly a rather rare anatomical variation; a high-riding, dehiscent jugular bulb, which might have played a role in the development of their clinical syndrome. The pediatric population with this particular imaging finding should receive special attention. Clinical implications of this concurrence are fitly discussed.

摘要

耳源性脑积水(OH)属于良性颅内高压的一种类型,继发于耳源性横窦血栓形成(LST)。只有一小部分耳源性 LST 患者会发展为 OH,这可能与脑静脉引流途径的解剖变异多样性有关。我们报告了两例小儿 OH 病例,并对相关文献进行了全面回顾。本文讨论的两例病例均同时存在一种较为罕见的解剖变异;高位、裂隙状颈静脉球,这可能在其临床综合征的发展中起了作用。具有这种特殊影像学表现的儿科人群应受到特别关注。本文恰当地讨论了这种并存情况的临床意义。

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