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儿科头颈部急症。

Pediatric head and neck emergencies.

机构信息

Department of Radiology, University of Texas Southwestern Medical Center, Dallas, USA.

出版信息

Neuroradiology. 2024 Nov;66(11):2053-2070. doi: 10.1007/s00234-024-03466-0. Epub 2024 Sep 19.

DOI:10.1007/s00234-024-03466-0
PMID:39297953
Abstract

PURPOSE

Head and neck emergencies in children are frequent cause of visits to the hospital. Imaging plays a critical role in the management of these patients. This review article aims to familiarize radiologists with the common clinical presentations encountered, imaging characteristics of nontraumatic pediatric head and neck emergencies, and improve their ability to recognize associated complications as well as be aware of common mimics.

METHODS

We researched our database for commonly encountered nontraumatic head and neck emergencies in children. A literature search was done to compare and complete the list of conditions to be discussed in this review.

RESULTS

The review was organized according to anatomical location of the emergent condition. Relevant anatomy has been discussed along with clinical presentation, imaging characteristics and complications. We have presented common mimics with each set of disorders. Key imaging characteristics have been delineated using radiology images.

CONCLUSION

Familiarity with the known complications of head and neck emergencies allows the radiologist to actively search for such findings, encourage early institution of appropriate therapy, and improve outcomes.

摘要

目的

儿童头颈部急症是频繁就诊于医院的常见原因。影像学在这些患者的管理中起着至关重要的作用。本文旨在使放射科医生熟悉常见的临床表现、非创伤性儿童头颈部急症的影像学特征,并提高其识别相关并发症和了解常见类似疾病的能力。

方法

我们在数据库中研究了儿童常见的非创伤性头颈部急症。进行了文献检索以比较和完成本综述中讨论的疾病列表。

结果

本综述根据急症的解剖位置进行组织。讨论了相关解剖结构,以及临床表现、影像学特征和并发症。我们在每一组疾病中都列出了常见的类似疾病。使用影像学图像描绘了常见的影像学特征。

结论

熟悉头颈部急症的已知并发症可以使放射科医生主动寻找这些发现,鼓励早期实施适当的治疗,并改善预后。

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Emerg Radiol. 2024 Apr;31(2):187-192. doi: 10.1007/s10140-024-02210-8. Epub 2024 Feb 10.
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MRI of acute neck infections: evidence summary and pictorial review.急性颈部感染的磁共振成像:证据总结与影像综述
Insights Imaging. 2023 Jan 8;14(1):5. doi: 10.1186/s13244-022-01347-9.
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Radiol Med. 2023 Jan;128(1):81-92. doi: 10.1007/s11547-022-01572-8. Epub 2022 Dec 27.
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J Otolaryngol Head Neck Surg. 2022 Oct 18;51(1):39. doi: 10.1186/s40463-022-00591-9.
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Guidelines for magnetic resonance imaging in pediatric head and neck pathologies: a multicentre international consensus paper.儿童头颈部病变磁共振成像指南:多中心国际共识文件。
Neuroradiology. 2022 Jun;64(6):1081-1100. doi: 10.1007/s00234-022-02950-9. Epub 2022 Apr 23.
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AJNR Am J Neuroradiol. 2021 Nov;42(11):2094-2100. doi: 10.3174/ajnr.A7293. Epub 2021 Oct 7.
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