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85岁老人开放性唇裂脑畸形被误诊为小儿麻痹后遗症：一例报告

Open Lip Schizencephaly Misdiagnosed as Paralytic Poliomyelitis in an 85-Year-Old: A Case Report.

作者信息

Guo Zihan, Scripko Patricia D, Gertz Alida M

机构信息

Wellstar Douglas Medical Center - Family Medicine Residency Program US.

Division of Neurology University of Maryland Medical System - Capital Region US.

出版信息

Clin Case Rep. 2025 Jun 18;13(6):e70556. doi: 10.1002/ccr3.70556. eCollection 2025 Jun.

DOI:10.1002/ccr3.70556
PMID:40538707
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12176691/
Abstract

The variable clinical presentations of open lip schizencephaly can lead to misdiagnosis, as occurred in this case originally misdiagnosed as polio in the 1930s. This case demonstrates the possible presence of confirmation bias, as the original poliomyelitis diagnosis remained unquestioned despite developments in the fields of Radiology and Neurology.

摘要

开放性唇裂脑畸形的临床表现多样，可能导致误诊，就像本例在20世纪30年代最初被误诊为小儿麻痹症一样。该病例显示了确认偏误可能存在，因为尽管放射学和神经学领域有了进展，但最初的小儿麻痹症诊断仍未受到质疑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8810/12176691/8ec127605ca5/CCR3-13-e70556-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8810/12176691/8ec127605ca5/CCR3-13-e70556-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8810/12176691/8ec127605ca5/CCR3-13-e70556-g001.jpg

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本文引用的文献

1
Polio.脊髓灰质炎
CMAJ. 2022 Nov 15;194(44):E1509. doi: 10.1503/cmaj.221320.
2
Schizencephaly revisited.再探脑裂畸形。
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Schizencephaly in children: A single medical center retrospective study.
Pediatr Neonatol. 2018 Dec;59(6):573-580. doi: 10.1016/j.pedneo.2018.01.009. Epub 2018 Jan 6.
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Neuroepidemiology of Porencephaly, Schizencephaly, and Hydranencephaly in Miyagi Prefecture, Japan.日本宫城县脑穿通畸形、脑裂畸形和积水性无脑畸形的神经流行病学
Pediatr Neurol. 2016 Jan;54:39-42.e1. doi: 10.1016/j.pediatrneurol.2015.08.016. Epub 2015 Aug 28.
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Central nervous system injury in utero: selected entities.子宫内的中枢神经系统损伤：特定实体
Pediatr Radiol. 2015 Sep;45 Suppl 3:S454-62. doi: 10.1007/s00247-015-3344-6. Epub 2015 Sep 7.
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Epidemiology and clinical spectrum of schizencephaly in south-eastern Hungary.匈牙利东南部脑裂畸形的流行病学及临床谱系
J Child Neurol. 2010 Nov;25(11):1335-9. doi: 10.1177/0883073810364854. Epub 2010 Mar 31.
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Schizencephaly: heterogeneous etiologies in a population of 4 million California births.脑裂畸形：加利福尼亚州400万例出生人口中的病因异质性。
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The incubation period of poliomyelitis.脊髓灰质炎的潜伏期。
Am J Public Health Nations Health. 1952 Nov;42(11):1403-8. doi: 10.2105/ajph.42.11.1403.
9
Perspectives on holoprosencephaly: Part II. Central nervous system, craniofacial anatomy, syndrome commentary, diagnostic approach, and experimental studies.全前脑畸形的观点：第二部分。中枢神经系统、颅面解剖、综合征评注、诊断方法及实验研究。
J Craniofac Genet Dev Biol. 1992 Oct-Dec;12(4):196-244.
10
Schizencephaly: a clinical study and review.脑裂畸形：一项临床研究与综述
Childs Brain. 1975;1(6):348-58. doi: 10.1159/000119586.