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多囊性脑病:缺血缺氧性损伤的最终表现。

Multicystic encephalopathy: an ultimate manifestation of ischemic-hypoxic injury.

作者信息

Aragones Vielka Fernandez, Castellano-Sanchez Amilcar, Chamyan Gabriel, Santana-Acosta Darline

机构信息

Mount Sinai Medical Center, Arkadi M. Rywlin Department of Pathology and Laboratory Medicine, Miami Beach, FL, USA.

Florida International University, Herbert Wertheim College of Medicine, Department of Pathology, Miami, FL, USA.

出版信息

Autops Case Rep. 2024 Sep 27;14:e2024517. doi: 10.4322/acr.2024.517. eCollection 2024.

Abstract

Multicystic encephalopathy is a rare neurological finding characterized by the appearance of multiple cystic or cavitary lesions as the result of repetitive episodes of hypoxic-ischemic injury in neonates and infants. We present a rare case of multicystic encephalopathy in a 3-month-old male, born at 34 weeks with Tetralogy of Fallot and multiple comorbidities. Gross examination of the brain during the autopsy revealed multiple irregular cystic lesions and distortion of the brain parenchyma. This case report highlights the uniqueness of multicystic encephalopathy and offers an extensive review of the existing literature, including etiology, clinical presentation, and histopathologic findings.

摘要

多囊性脑病是一种罕见的神经学表现,其特征是新生儿和婴儿因反复发生缺氧缺血性损伤而出现多个囊性或空洞性病变。我们报告一例罕见的3个月大男性多囊性脑病病例,该患儿34周出生,患有法洛四联症及多种合并症。尸检时对大脑进行大体检查发现多个不规则囊性病变及脑实质变形。本病例报告突出了多囊性脑病的独特性,并对现有文献进行了广泛综述,包括病因、临床表现和组织病理学发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/45b8/11452078/05b1980af2d8/autopsy-14-e2024517-g01.jpg

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