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蝶筛脑膜脑膨出合并胼胝体发育不全及正中唇腭裂——两例报告(作者译)

[Sphenoethmoidal meningoencephalocele associated with agenesis of corpus callosum and median cleft lip and palate--report of two cases (author's transl)].

作者信息

Sakoda K, Uozumi T, Hirakawa K, Harada Y, Chikuie S, Sasaki U, Ibuki Y

出版信息

No To Shinkei. 1979 Sep;31(9):947-53.

PMID:508444
Abstract

Two cases of sphenoethmoidal meningoencephalocele are reported. Patients are a 1 year 7 month old boy and a 3 year old boy. Although sphenoethmoidal meningoencephalocele is reasonably classified as a type of basal meningoencephalocele, the authors could not find out any reports on cases designated as such. The reason must be in difficulty to differentiate the sphenoethmoidal type from the transsphenoidal type. Authors could differentiate them using CT scan. Two other cases were found in cases reported as transsphenoidal type. Further, it is assumed that these four cases including our two cases were accompanied with agenesis of corpus callosum and median cleft lip and palate. Despite the fact that the respective anomalies are rare, they are completely the same, which signifies the possibility that 1) sphenoethmoidal meningoencephalocele, 2) agenesis of corpus callosum and 3) median cleft lip and palate are a single unit of congenital anomalies. It probably should be considered that the cause for these malformations were present even before the formation of the lips which takes place earliest, that is, sixth week of gestation.

摘要

报告了两例蝶筛脑膜脑膨出病例。患者分别为一名1岁7个月大的男孩和一名3岁男孩。尽管蝶筛脑膜脑膨出可合理地归类为基底脑膜脑膨出的一种类型,但作者未找到任何关于此类病例的报道。原因肯定在于难以将蝶筛型与经蝶型区分开来。作者通过CT扫描能够将它们区分开来。在报道为经蝶型的病例中还发现了另外两例。此外,推测包括我们这两例在内的这四例均伴有胼胝体发育不全以及正中唇腭裂。尽管各自的异常情况较为罕见,但它们完全相同,这意味着1)蝶筛脑膜脑膨出、2)胼胝体发育不全和3)正中唇腭裂可能是先天性异常的一个单一单元。或许应该认为,这些畸形的病因在最早发生的唇部形成之前,即妊娠第六周就已存在。

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