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伪宗教信仰疗法后的脑脊液漏

Cerebrospinal Fluid Leakage Following a Pseudo-Religious Faith Healing.

作者信息

Lee Ye Hwan, Seo Min Young

机构信息

Department of Otorhinolaryngology-Head and Neck Surgery, Korea University Ansan Hospital, Korea University College of Medicine, Ansan, Republic of Korea.

出版信息

J Rhinol. 2025 Mar;32(1):60-63. doi: 10.18787/jr.2024.00038. Epub 2025 Mar 21.

DOI:10.18787/jr.2024.00038
PMID:40169035
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11969159/
Abstract

A 56-year-old man presented to the emergency room with a sudden onset of drowsiness that began 2 hours before his arrival. Brain computed tomography revealed massive pneumocephalus. The patient was diagnosed with cerebrospinal fluid leakage accompanied by septal perforation. A planned skull base repair was performed using multilayer reconstruction via a trans-septal approach. Following surgery, the patient's mental state recovered, and the skull base defect was successfully reconstructed. The patient disclosed that he had undergone faith healing sessions at a religious facility, where a metal rod-like instrument was repeatedly inserted into his nose.

摘要

一名56岁男性因在抵达急诊室前2小时突然出现嗜睡症状前来就诊。脑部计算机断层扫描显示大量气颅。该患者被诊断为脑脊液漏伴鼻中隔穿孔。通过经鼻中隔入路采用多层重建技术进行了计划性颅底修复。手术后，患者的精神状态恢复，颅底缺损成功修复。患者透露，他在一家宗教机构接受了信仰疗法，期间一根金属棒状器械被反复插入他的鼻子。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ade2/11969159/8c286cf70407/jr-2024-00038f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ade2/11969159/862a85316bc7/jr-2024-00038f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ade2/11969159/7a616bf99ad2/jr-2024-00038f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ade2/11969159/a1a4ea25d7f0/jr-2024-00038f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ade2/11969159/1e7bbfe523c7/jr-2024-00038f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ade2/11969159/3eba556dd986/jr-2024-00038f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ade2/11969159/8c286cf70407/jr-2024-00038f6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ade2/11969159/862a85316bc7/jr-2024-00038f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ade2/11969159/7a616bf99ad2/jr-2024-00038f2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ade2/11969159/a1a4ea25d7f0/jr-2024-00038f3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ade2/11969159/1e7bbfe523c7/jr-2024-00038f4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ade2/11969159/3eba556dd986/jr-2024-00038f5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ade2/11969159/8c286cf70407/jr-2024-00038f6.jpg

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本文引用的文献

1
Diagnosis and Localization of Cerebrospinal Fluid Rhinorrhea: A Systematic Review.脑脊液鼻漏的诊断和定位：系统评价。
Am J Rhinol Allergy. 2022 May;36(3):397-406. doi: 10.1177/19458924211060918. Epub 2021 Nov 30.
2
Extended approach or usage of nasoseptal flap is a risk factor for olfactory dysfunction after endoscopic anterior skullbase surgery: results from 928 patients in a single tertiary center.鼻中隔鼻瓣的延长应用是内镜颅前窝底手术术后嗅觉功能障碍的一个危险因素：来自单一三级中心的 928 例患者的结果。
Rhinology. 2020 Dec 1;58(6):574-580. doi: 10.4193/Rhin20.020.
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Quality of life after extended versus transsellar endoscopic skull base surgery from 767 patients.
767例患者经扩大经蝶窦内镜颅底手术后的生活质量
Laryngoscope. 2019 Jun;129(6):1318-1324. doi: 10.1002/lary.27630. Epub 2018 Dec 19.
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Endoscopic Skull Base Reconstruction: An Evolution of Materials and Methods.内镜颅底重建：材料与方法的演变
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Int Forum Allergy Rhinol. 2016 Jan;6(1):17-24. doi: 10.1002/alr.21627. Epub 2015 Sep 15.
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Cerebrospinal fluid rhinorrhoea: diagnosis and management.脑脊液鼻漏：诊断与处理
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Cerebrospinal fluid rhinorrhea.
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