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罕见的 Chiari Ⅲ型畸形病例的良好预后:临床报告

Favorable Outcomes in a Rare Case of Chiari Malformation Type III: A Clinical Report.

作者信息

Alemania Renz Marion M, Ibe-Ilustre Maria Estrella G

机构信息

Department of Neurology, Jose R. Reyes Memorial Medical Center, Manila City, PHL.

Department of Pediatrics, Jose R. Reyes Memorial Medical Center, Manila City, PHL.

出版信息

Cureus. 2025 May 20;17(5):e84482. doi: 10.7759/cureus.84482. eCollection 2025 May.

Abstract

This report details the case of a 1-year and 11-month-old Filipino female patient who presented with a persistent occipital mass that was soft, non-tender, mobile, and lit through upon transillumination. A neurological test revealed a global developmental delay. Neuroimaging revealed a bony defect at the posterior cranial fossa with herniation of the occipital lobe, cerebrospinal fluid, and the meninges, consistent with Chiari malformation type III, a rare and severe form accounting for less than 1% of Chiari malformations. While this condition typically carries a poor prognosis, the patient showed a favorable outcome following neurosurgical intervention. We present this case to share our clinical experience with this exceedingly rare condition and highlight its potential for positive post-surgical outcomes.

摘要

本报告详细介绍了一名1岁11个月大的菲律宾女性患者的病例,该患者出现一个持续存在的枕部肿块,质地柔软,无压痛,可活动,透光检查时呈透光状。神经系统检查显示全面发育迟缓。神经影像学检查发现后颅窝有骨缺损,枕叶、脑脊液和脑膜疝出,符合Ⅲ型Chiari畸形,这是一种罕见且严重的类型,占Chiari畸形的比例不到1%。虽然这种疾病通常预后较差,但患者在接受神经外科手术后显示出良好的结果。我们展示此病例以分享我们对这种极其罕见疾病的临床经验,并强调其术后可能出现积极结果的可能性。

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