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开放性唇裂脑畸形:偏瘫的一种罕见病因:病例报告

Open lip schizencephaly: An unusual cause of hemiparesis: A case report.

作者信息

Mequanint Melese Birara, Mengesha Chalew Abebe, Alemu Hirut Tesfahun, Molla Yohannis Derbew

机构信息

Department of Surgery, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

Department of Radiology, College of Medicine and Health Sciences, University of Gondar, Gondar, Ethiopia.

出版信息

Radiol Case Rep. 2024 Aug 29;19(11):5354-5358. doi: 10.1016/j.radcr.2024.07.192. eCollection 2024 Nov.

Abstract

Schizencephaly is a highly uncommon clinical condition characterized by a diverse range of symptoms stemming from its numerous anatomical manifestations. The disorder is characterized by abnormalities in brain structure resulting from disruptions in neuronal migration. This article presents a case of schizencephaly in an Ethiopian child. The child, displaying delayed walking and speech difficulty since birth, was brought to the pediatric outpatient department for examination. The physical assessment revealed left-sided hemiparesis and an inability to sit without assistance. Subsequent magnetic resonance imaging findings confirmed the presence of open-lip schizencephaly. Therefore, neurorehabilitation, specifically highlighting the crucial importance of early intervention in enhancing cognitive and motor functions was initiated. It is imperative to acknowledge that, while a permanent cure for schizencephaly may not currently exist, neuro-rehabilitation plays a pivotal role in enhancing the overall quality of life for individuals affected by this condition.

摘要

脑裂畸形是一种极为罕见的临床病症,因其众多解剖学表现而呈现出多种症状。该病症的特征是由于神经元迁移中断导致脑结构异常。本文介绍了一名埃塞俄比亚儿童的脑裂畸形病例。该儿童自出生以来就表现出走路延迟和言语困难,被带到儿科门诊进行检查。体格检查发现左侧偏瘫,无法独立坐立。随后的磁共振成像结果证实存在开放性脑裂畸形。因此,启动了神经康复治疗,特别强调了早期干预对增强认知和运动功能的至关重要性。必须认识到,虽然目前可能不存在针对脑裂畸形的永久性治愈方法,但神经康复在提高受该病症影响个体的整体生活质量方面起着关键作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9645/11402181/2d57717f4ca3/gr1.jpg

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