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由超长皮样窦道引起的复发性脑膜脑炎和上升性脊髓炎。

Recurrent meningoencephalitis and ascending myelitis caused by dermal sinus tract of extraordinary length.

作者信息

Probst F P, Brun A

出版信息

Neuroradiology. 1980 Apr;19(3):161-5. doi: 10.1007/BF00342393.

DOI:10.1007/BF00342393
PMID:7383338
Abstract

The case of an infant with a dermal sinus tract, recurrent meningitis, ascending myelitis and a fatal outcome is described. The extraordinary extent of the cord affection with abscesses up to the level of the lower brainstem, and the presence of squamous epithelium within them, is difficult to explain on the basis of current concepts of the formation of dysraphic dermal sinus tracts. Morphogenetic, clinical and radiological aspects are discussed.

摘要

本文描述了一名患有皮肤窦道、复发性脑膜炎、上升性脊髓炎并最终死亡的婴儿病例。脊髓受累范围异常广泛,脓肿直至下脑干水平,且脓肿内存在鳞状上皮,这很难用目前关于神经管闭合不全性皮肤窦道形成的概念来解释。文中讨论了形态发生、临床和放射学方面的问题。

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引用本文的文献

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An unusual sequelae of an infected persistent dermal sinus tract.感染性持续性皮肤窦道的一种罕见后遗症。
Childs Nerv Syst. 2007 May;23(5):569-71. doi: 10.1007/s00381-006-0216-2. Epub 2006 Aug 30.

本文引用的文献

1
Congenital dermal sinuses as a cause of meningitis, intraspinal abscess and intracranial abscess.先天性皮样窦作为脑膜炎、椎管内脓肿和颅内脓肿的病因
J Am Med Assoc. 1949 Apr 30;139(18):1263-8. doi: 10.1001/jama.1949.02900350025007.
2
Intracranial complications of congenital dermal sinuses.
Pediatrics. 1951 Oct;8(4):463-74.
3
The natural history of hydrocephalus. Detailed analysis of 182 unoperated cases.脑积水的自然病史。对182例未经手术治疗的病例进行的详细分析。
Arch Dis Child. 1962 Aug;37(194):345-62. doi: 10.1136/adc.37.194.345.
4
THE AETIOLOGY OF NEONATAL HYDROCEPHALUS (EXCLUDING CASES WITH SPINA BIFIDA).
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5
Mechanisms of brain damage in H. influenzae meningitis.流感嗜血杆菌脑膜炎的脑损伤机制。
J Neuropathol Exp Neurol. 1960 Apr;19:248-65. doi: 10.1097/00005072-196004000-00006.
6
Recurrent meningitis associated with congenital lumbo-sacral dermal sinus tract.复发性脑膜炎与先天性腰骶部皮样窦道相关。
J Neurosurg. 1966 Sep;25(3):288-97. doi: 10.3171/jns.1966.25.3.0288.
7
Intramedullary spinal abscess as a complication of a congenital dermal sinus. Case report.髓内脊髓脓肿作为先天性皮样窦的一种并发症。病例报告。
J Neurosurg. 1969 Apr;30(4):494-7. doi: 10.3171/jns.1969.30.4.0494.
8
Angiography in the acute and post-treatment phases of Hemophilus influenzae meningitis.
Radiology. 1974 Feb;110(2):439-44. doi: 10.1148/110.2.439.
9
Intramedullary spinal abscess: a case report with a review of 53 previously described cases.脊髓内脓肿:一例病例报告并回顾53例既往描述病例
Surg Neurol. 1977 Jun;7(6):351-4.
10
Postmeningitic hydrocephalus in infancy. Ventriculography with special reference to ventricular septa.婴儿期脑膜炎后脑积水。脑室造影术,特别提及室间隔。
Neuroradiology. 1978;16:31-5. doi: 10.1007/978-3-642-66959-0_11.