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一名患有脑类鼻疽病患者并发硬膜外、硬膜下和脑实质内脑脓肿——病例报告

Concomitant extradural, subdural, and intraparenchymal abscesses of the brain in a patient with cerebral melioidosis - A case report.

作者信息

Chandra Kartik, Rajesh B J

机构信息

Department of Neurosurgery, Yashoda Hospitals, Hyderabad, Telangana, India.

出版信息

Surg Neurol Int. 2022 Dec 23;13:588. doi: 10.25259/SNI_861_2022. eCollection 2022.

DOI:10.25259/SNI_861_2022
PMID:36600733
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9805620/
Abstract

BACKGROUND

Extra axial abscess of the brain is a rare entity, moreover, extra-axial abscess concomitant with intraparenchymal purulent collections are scarcely reported in the literature. Etiology includes penetrating trauma, paranasal sinusitis, mastoiditis, craniospinal surgeries, and the rare spread of infectious agents through the hematogenous route.

CASE DESCRIPTION

We present a case of a young male with Burkholderia pseudomallei Central Nervous System (CNS) melioidosis, forming abscesses in extra-axial and intraparenchymal planes without contiguity.

CONCLUSION

This is to emphasize the importance of MR spectroscopy and other convenient methods in differentiating the etiology in cranial infections.

摘要

背景

脑外轴脓肿是一种罕见的病症，此外，文献中很少报道脑外轴脓肿合并脑实质内脓性病灶的情况。病因包括穿透性创伤、鼻窦炎、乳突炎、颅脑脊髓手术，以及病原体通过血行途径的罕见传播。

病例描述

我们报告一例年轻男性患者，患有伯克霍尔德菌属假鼻疽杆菌中枢神经系统（CNS）类鼻疽病，在脑外轴和脑实质平面形成脓肿，且二者不相邻。

结论

这强调了磁共振波谱成像及其他便捷方法在鉴别颅内感染病因方面的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af01/9805620/93110c8a9d99/SNI-13-588-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af01/9805620/3311b0578827/SNI-13-588-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af01/9805620/12be8ec47f1f/SNI-13-588-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af01/9805620/93110c8a9d99/SNI-13-588-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af01/9805620/3311b0578827/SNI-13-588-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af01/9805620/12be8ec47f1f/SNI-13-588-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/af01/9805620/93110c8a9d99/SNI-13-588-g003.jpg

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Intracranial infections: lessons learned from 52 surgically treated cases.颅内感染：52 例手术治疗病例的经验教训。
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