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伴梗阻性脑积水的菱脑融合:MRI表现为小脑异常的罕见病例

Rhombencephalosynapsis With Obstructive Hydrocephalus: A Rare Presentation of the Cerebellar Anomaly on MRI Findings.

作者信息

Khandelwal Shreya, Dhande Rajasbala, Gowda Harshith, Mishra Gaurav, Khandelwal Ramesh

机构信息

Radiodiagnosis, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Radiodiagnosis, Khandelwal Diagnostic Center, Dhamtri, IND.

出版信息

Cureus. 2023 Jun 5;15(6):e39969. doi: 10.7759/cureus.39969. eCollection 2023 Jun.

DOI:10.7759/cureus.39969
PMID:37416012
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10320735/
Abstract

Rhombencephalosynapsis is an exceptionally uncommon cerebellar anomaly characterized by the absence or underdevelopment of vermal axons, the presence of dentate nuclei, and the fusion of cerebral hemispheres. Depending on the presence or absence of additional supratentorial anomalies, the prognosis and clinical appearance can vary widely. Here, we present the case of a consanguineous-parent newborn boy, aged four days, who was diagnosed with the use of an MRI. The child had spastic diplegia, bone anomalies, and facial dysmorphism. Slight hydrocephalus, hypogenesis of the corpus callosum, and agenesis of the septum pellucidum were some of the additional supratentorial abnormalities. This study details the clinical and MRI findings, as well as a possible etiology, of this illness.

摘要

菱脑融合是一种极为罕见的小脑异常,其特征为蚓部轴突缺失或发育不全、齿状核存在以及大脑半球融合。根据是否存在其他幕上异常,预后和临床表现可能差异很大。在此,我们报告一例近亲结婚的4日龄男婴病例,该病例通过磁共振成像(MRI)确诊。患儿患有痉挛性双侧瘫、骨骼异常和面部畸形。轻度脑积水、胼胝体发育不全和透明隔缺如为部分其他幕上异常。本研究详细阐述了该疾病的临床和MRI表现以及可能的病因。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1386/10320735/c302594222ef/cureus-0015-00000039969-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1386/10320735/db4b984c8269/cureus-0015-00000039969-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1386/10320735/afa1c1eda002/cureus-0015-00000039969-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1386/10320735/c302594222ef/cureus-0015-00000039969-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1386/10320735/db4b984c8269/cureus-0015-00000039969-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1386/10320735/afa1c1eda002/cureus-0015-00000039969-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1386/10320735/c302594222ef/cureus-0015-00000039969-i03.jpg

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本文引用的文献

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Update on neuroimaging phenotypes of mid-hindbrain malformations.中后脑畸形的神经影像学表型更新
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Rhombencephalosynapsis: a hindbrain malformation associated with incomplete separation of midbrain and forebrain, hydrocephalus and a broad spectrum of severity.菱形脑回融合畸形:一种与中脑和前脑不完全分离、脑积水以及广泛严重程度相关的后脑畸形。
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Eur J Paediatr Neurol. 2007 Jan;11(1):35-8. doi: 10.1016/j.ejpn.2006.09.007. Epub 2006 Nov 9.
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Partial rhombencephalosynapsis.部分菱形脑融合
AJNR Am J Neuroradiol. 2004 Jan;25(1):29-31.