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因痛觉解离及强迫型人格障碍导致全层头皮和颅骨缺损并硬脑膜暴露：1例报告

Full-thickness scalp and skull defect with dura mater exposure due to dissociation of pain sensation and anankastic personality disorder: a case report.

作者信息

Tamulevicius Martynas, Vogt Peter M, Maerz Vincent

机构信息

Department of Plastic, Aesthetic, Hand and Reconstructive Surgery, Hannover Medical School, Hannover, Germany.

出版信息

Case Reports Plast Surg Hand Surg. 2023 Nov 28;10(1):2285058. doi: 10.1080/23320885.2023.2285058. eCollection 2023.

DOI:10.1080/23320885.2023.2285058
PMID:38229699
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10790795/
Abstract

Our case demonstrates a rare genesis of complex scalp defect with exposed dura mater in the occipital region due to self-mutilation. An early interdisciplinary approach is vital to prevent secondary complications and potentially fatal outcomes, particularly in psychiatric patients with reduced health awareness.

摘要

我们的病例展示了因自残导致枕部出现伴有硬脑膜暴露的复杂头皮缺损的罕见成因。早期的多学科方法对于预防继发性并发症和潜在的致命后果至关重要，尤其是在健康意识较低的精神科患者中。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/436d/10790795/b67c7aca437a/ICRP_A_2285058_F0005_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/436d/10790795/bd48bd9de3bf/ICRP_A_2285058_F0001_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/436d/10790795/44cf4eb03f1d/ICRP_A_2285058_F0002_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/436d/10790795/1706a91a340e/ICRP_A_2285058_F0003_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/436d/10790795/adf1f65b219b/ICRP_A_2285058_F0004_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/436d/10790795/b67c7aca437a/ICRP_A_2285058_F0005_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/436d/10790795/bd48bd9de3bf/ICRP_A_2285058_F0001_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/436d/10790795/44cf4eb03f1d/ICRP_A_2285058_F0002_B.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/436d/10790795/1706a91a340e/ICRP_A_2285058_F0003_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/436d/10790795/adf1f65b219b/ICRP_A_2285058_F0004_C.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/436d/10790795/b67c7aca437a/ICRP_A_2285058_F0005_C.jpg

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Full-thickness scalp and skull defect with dura mater exposure due to dissociation of pain sensation and anankastic personality disorder: a case report.因痛觉解离及强迫型人格障碍导致全层头皮和颅骨缺损并硬脑膜暴露：1例报告
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本文引用的文献

1
Scalp Reconstruction Strategy Based on the Etiology of the Scalp Defects.基于头皮缺损病因的头皮重建策略。
J Craniofac Surg. 2022;33(8):2450-2454. doi: 10.1097/SCS.0000000000008490. Epub 2022 Feb 2.
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[Artificial ulcer with perforating bone defect on the scalp due to repeated scratching attacks in dementia syndrome].
Dtsch Med Wochenschr. 2022 Jun;147(11):e1. doi: 10.1055/a-1868-0864. Epub 2022 Jul 21.
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Scalp dysesthesia: a neuropathic phenomenon.头皮感觉异常：一种神经病理性现象。
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Scalp Itch: A Systematic Review.头皮瘙痒：一项系统综述。
Skin Appendage Disord. 2018 Aug;4(3):187-199. doi: 10.1159/000484354. Epub 2017 Nov 29.
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Recent advances in understanding physical health problems in personality disorders.人格障碍患者躯体健康问题的研究进展。
Curr Opin Psychol. 2018 Jun;21:1-5. doi: 10.1016/j.copsyc.2017.08.036. Epub 2017 Sep 13.
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Postprandial blood glucose is associated with generalized pruritus in patients with type 2 diabetes.餐后血糖与 2 型糖尿病患者的全身性瘙痒有关。
Eur J Dermatol. 2013 Sep-Oct;23(5):688-93. doi: 10.1684/ejd.2013.2100.
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Successful reconstruction of scalp and skull defects: lessons learned from a large series.成功重建头皮和颅骨缺损：从大量系列中获得的经验教训。
Laryngoscope. 2011 Nov;121(11):2305-12. doi: 10.1002/lary.22191.
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Physical complications of severe enduring obsessive-compulsive disorder.严重持久性强迫症的身体并发症。
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Intractable postherpetic itch and cutaneous deafferentation after facial shingles.面部带状疱疹后难治性疱疹后瘙痒和皮肤传入神经阻滞
Pain. 2002 Mar;96(1-2):9-12. doi: 10.1016/s0304-3959(01)00400-6.