Interdisciplinary Center Smell and Taste, Department of Otorhinolaryngology, Medical Faculty Carl Gustav Carus, TU Dresden, Dresden, Germany,
Interdisciplinary Center Smell and Taste, Department of Otorhinolaryngology, Medical Faculty Carl Gustav Carus, TU Dresden, Dresden, Germany.
ORL J Otorhinolaryngol Relat Spec. 2021;83(1):2-6. doi: 10.1159/000511442. Epub 2020 Nov 11.
We report the case of a 49-year-old female patient who suffered from anosmia following an apparently mild head trauma when bumping into a door at her home. She reported no other accompanying symptoms after the injury that day. Olfactory function was completely lost, which was noted the day after the trauma. Gustatory function remained normal. Magnetic resonance imaging indicated lesions/bleeding in the right frontal lobe and in the area of the olfactory sulcus/bulb. The present case indicates that in case of apparently mild head trauma with anosmia, an MRI scan of the head should be performed because of suspect brain damage. This case also points to the deeper question how to gauge severity of head trauma.
我们报告了一例 49 岁女性患者的病例，该患者在自家门口撞上门后出现了嗅觉丧失，头部明显受到轻度创伤。当天受伤后，她没有出现其他伴随症状。嗅觉功能完全丧失是在创伤后第二天发现的。味觉功能正常。磁共振成像显示右侧额叶和嗅沟/嗅球区域有病变/出血。本病例表明，对于有明显轻度头部创伤和嗅觉丧失的情况，由于怀疑有脑损伤，应进行头部 MRI 扫描。该病例还提出了一个更深层次的问题，即如何评估头部创伤的严重程度。
