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幼儿下颌骨骨折后孤立性创伤性蛛网膜下腔出血引发的急性脑积水:1 例罕见病例报告。

Acute hydrocephalus triggered by isolated traumatic subarachnoid hemorrhage in the posterior fossa following mandibular fracture in a toddler: a rare case report.

机构信息

Department of Neurosurgery, Sapporo City General Hospital, Sapporo, Japan.

Department of Neurosurgery, Sapporo Medical University School of Medicine, Sapporo, Japan.

出版信息

Childs Nerv Syst. 2024 Dec;40(12):4357-4360. doi: 10.1007/s00381-024-06599-y. Epub 2024 Sep 4.

DOI:10.1007/s00381-024-06599-y
PMID:39230741
Abstract

INTRODUCTION

Facial bone fractures triggered by low-height falls are rare in toddlers, while severe intracranial injuries resulting from minor trauma are extremely rare.

CASE

Herein, we report the case of a 2-year-old girl who fell from a baby chair, striking her chin, who rapidly developed impaired consciousness 3 h later. The patient subsequently presented with a mandibular fracture and acute obstructive hydrocephalus due to a traumatic isolated subarachnoid hemorrhage in the posterior cranial fossa. She was successfully treated with ventricular drainage, which achieved a favorable outcome.

CONCLUSION

Maxillofacial trauma and head injuries are closely associated. Even in minor cases of maxillofacial trauma, vigilant monitoring and prompt intervention are crucial to prevent fatal outcomes in toddlers.

摘要

简介

幼儿因低高度坠落导致的面骨骨折较为罕见,而轻微外伤引起的严重颅内损伤则极为罕见。

病例报告

本案例报道了一名 2 岁女童从婴儿椅上坠落,撞击下巴,3 小时后迅速出现意识障碍。患者随后出现下颌骨骨折和急性梗阻性脑积水,原因是颅后窝创伤性孤立性蛛网膜下腔出血。她成功地接受了脑室引流治疗,取得了良好的效果。

结论

颌面外伤和头部损伤密切相关。即使是轻微的颌面外伤,对幼儿也要进行警惕监测和及时干预,以防止出现致命后果。

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本文引用的文献

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Acute hydrocephalus following post-traumatic peri-mesencephalic subarachnoid hemorrhage: an uncommon and potentially fatal event in children.
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2
Paediatric mandibular fracture-a diagnostic challenge?小儿下颌骨骨折——诊断难题?
Int J Oral Maxillofac Surg. 2020 Nov;49(11):1439-1444. doi: 10.1016/j.ijom.2020.06.008. Epub 2020 Jul 14.
3
Incidence of hydrocephalus in traumatic brain injury: A nationwide population-based cohort study.创伤性脑损伤中脑积水的发病率:一项基于全国人群的队列研究。
Medicine (Baltimore). 2019 Oct;98(42):e17568. doi: 10.1097/MD.0000000000017568.
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Childs Nerv Syst. 2019 Nov;35(11):2037-2041. doi: 10.1007/s00381-019-04318-6. Epub 2019 Jul 25.
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Brain Injuries and Facial Fractures: A Prospective Study of Incidence of Head Injury Associated with Maxillofacial Trauma.脑损伤与面部骨折:一项关于颌面部创伤相关头部损伤发生率的前瞻性研究。
J Maxillofac Oral Surg. 2018 Dec;17(4):531-537. doi: 10.1007/s12663-017-1078-8. Epub 2018 Jan 3.
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