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持续性颅咽管：小儿复发性脑膜炎的罕见病因

Persistent Craniopharyngeal Canal: A Rare Cause for Recurrent Meningitis in Pediatric Population.

作者信息

Lingappa Lokesh, Konanki Ramesh, Varma Ravi, Shah Nikit, Raju Subodh, Sura Sukumar, Reddy Leenatha, Rani Sirisha

机构信息

Department of Pediatric Neurology, Rainbow Children's Hospital, Hyderabad, Telangana, India.

Department of Neuroradiology, Citi Neuro Centre, Hyderabad, Telangana, India.

出版信息

Ann Indian Acad Neurol. 2020 Jul-Aug;23(4):545-548. doi: 10.4103/aian.AIAN_411_18. Epub 2019 Mar 5.

DOI:10.4103/aian.AIAN_411_18
PMID:33223676
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7657271/
Abstract

We present the case of a 5-year-old girl who had six episodes of meningitis. She also had panhypopituitarism and was found to have a persistent craniopharyngeal canal (CPC) as the cause of her recurrent meningitis. Role of neuroradiology and a high index of suspicion by the clinical team are highlighted here. Persistent CPC is a rare cause of recurrent meningitis. We discuss the approach to the child with recurrent meningitis.

摘要

我们报告了一名5岁女童的病例，她曾6次患脑膜炎。她还患有全垂体功能减退症，经检查发现其复发性脑膜炎的病因是存在持续性颅咽管（CPC）。本文强调了神经放射学的作用以及临床团队的高度怀疑指数。持续性CPC是复发性脑膜炎的罕见病因。我们讨论了针对复发性脑膜炎患儿的处理方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ba3/7657271/cb4b58fbdb17/AIAN-23-545-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ba3/7657271/cb4b58fbdb17/AIAN-23-545-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ba3/7657271/cb4b58fbdb17/AIAN-23-545-g001.jpg

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引用本文的文献

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Persistent craniopharyngeal canal with an associated sphenoid sinus fistula.持续性颅咽管伴发蝶窦瘘。
J Radiol Case Rep. 2023 Oct 31;17(10):14-20. doi: 10.3941/jrcr.v17i8.4707. eCollection 2023 Oct.

本文引用的文献

1
Craniopharyngeal duct: a cause of recurrent meningitis.颅咽管：复发性脑膜炎的一个病因。
BJR Case Rep. 2015 Jul 17;1(3):20150022. doi: 10.1259/bjrcr.20150022. eCollection 2015.
2
Craniopharyngeal canal and its spectrum of pathology.颅咽管及其病变谱。
AJNR Am J Neuroradiol. 2014 Apr;35(4):772-7. doi: 10.3174/ajnr.A3745. Epub 2013 Nov 1.
3
Endoscopic endonasal versus open repair of anterior skull base CSF leak, meningocele, and encephalocele: a systematic review of outcomes.经鼻内镜与开放性修复前颅底脑脊液漏、脑膜膨出和脑膨出：结局的系统评价
J Neurol Surg A Cent Eur Neurosurg. 2013 Jul;74(4):239-50. doi: 10.1055/s-0032-1325636. Epub 2012 Oct 1.
4
Recurrent meningitis and persistence of craniopharyngeal canal: case report.复发性脑膜炎与颅咽管持续存在：病例报告
Neurocirugia (Astur). 2009 Feb;20(1):50-3. doi: 10.1016/s1130-1473(09)70195-2.
5
Diagnostic approach to recurrent bacterial meningitis in children.儿童复发性细菌性脑膜炎的诊断方法
Chang Gung Med J. 2005 Jul;28(7):441-52.
6
Evolutions in the management of congenital intranasal skull base defects.先天性鼻内颅底缺损的治疗进展
Arch Otolaryngol Head Neck Surg. 2004 Nov;130(11):1283-8. doi: 10.1001/archotol.130.11.1283.
7
Difficult and recurrent meningitis.难治性和复发性脑膜炎
J Neurol Neurosurg Psychiatry. 2004 Mar;75 Suppl 1(Suppl 1):i16-21. doi: 10.1136/jnnp.2003.034272.