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小儿胼胝体的细胞毒性损害:一例报告。

Cytotoxic lesion of the corpus callosum in pediatrics: A case report.

作者信息

Bonilla González Carolina, Novoa Garnica Camilo

机构信息

Pediatric Intensive Care Unit, Department of Pediatrics, Fundación Santa Fe of Bogotá, Cra. 7 #117 -15, Bogotá, Colombia.

Pediatric, Department of Pediatrics, Fundación Santa Fe of Bogotá, Cra. 7 #117 -15, Bogotá, Colombia.

出版信息

Radiol Case Rep. 2023 Apr 11;18(6):2186-2193. doi: 10.1016/j.radcr.2023.02.053. eCollection 2023 Jun.

Abstract

Cytotoxic lesions of the corpus callosum are considered a clinical-radiological syndrome that generates transitory damage to the corpus callosum; especially in the splenium, with a multicausal origin such as drugs, malignant neoplasms, infections, subarachnoid hemorrhage, metabolic disorders, and traumas. The clinical presentation varies in severity. Some patients have complete recovery in a few days, while others present a more serious clinical, requiring admission to pediatric intensive care. We present a case of a pediatric patient with cytotoxic lesions of the corpus callosum (CLOCCs) confirmed by brain magnetic resonance imaging (MRI). The patient was admitted due to gastrointestinal symptoms, progressing to altered consciousness, postural instability, dysarthria, and paroxysmal events. A literature search of all reported cases of compromises of CLOCCs was carried out to identify the different terms used to describe this syndrome and consolidated a report of utility in the clinic of this pathology.

摘要

胼胝体的细胞毒性病变被认为是一种临床-放射学综合征,会对胼胝体产生暂时性损伤;尤其是在压部,其病因多方面,如药物、恶性肿瘤、感染、蛛网膜下腔出血、代谢紊乱和创伤。临床表现严重程度各异。一些患者在几天内完全康复,而另一些患者临床表现更为严重,需要入住儿科重症监护病房。我们报告一例经脑磁共振成像(MRI)确诊为胼胝体细胞毒性病变(CLOCCs)的儿科患者。该患者因胃肠道症状入院,随后出现意识改变、姿势不稳、构音障碍和阵发性事件。我们对所有已报道的CLOCCs受损病例进行了文献检索,以确定描述该综合征的不同术语,并整理了一份该病理学在临床上的实用报告。

相似文献

1
Cytotoxic lesion of the corpus callosum in pediatrics: A case report.小儿胼胝体的细胞毒性损害:一例报告。
Radiol Case Rep. 2023 Apr 11;18(6):2186-2193. doi: 10.1016/j.radcr.2023.02.053. eCollection 2023 Jun.

本文引用的文献

7
COVID-19-Associated Cytotoxic Lesions of the Corpus Callosum.COVID-19 相关的胼胝体细胞毒性病变。
AJNR Am J Neuroradiol. 2020 Oct;41(10):1905-1907. doi: 10.3174/ajnr.A6713. Epub 2020 Aug 20.

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