Fernández Martínez J A, Martínez Sánchez J A, Alvarez Méndez J C, Gordo Fraile P
Servicio de ORL, Hospital Da Costa, Burela, Lugo.
Acta Otorrinolaringol Esp. 1998 Nov-Dec;49(8):654-7.
Dysfunction of the last cranial pairs can occur in some neurological diseases, such as Chiari's malformation. This entity causes herniation of the cerebellar amygdalas through the foramen magnum, producing descent of the brainstem and traction on the lower cranial pairs. This dysfunction occurs in 57-70% of patients with this malformation, which is why the disease may be diagnosed in the ENT clinic. Clinical suspicion of this entity after exhaustive examination of the patient, early disease diagnosis and correct selection of surgical treatment can alleviate major symptoms and prevent neurological complications in some cases.
在某些神经系统疾病中,如Chiari畸形,可出现后几对脑神经功能障碍。该病症会导致小脑扁桃体通过枕骨大孔疝出,引起脑干下移并牵拉后几对脑神经。这种功能障碍发生在57%至70%的该畸形患者中,这就是为什么这种疾病可能在耳鼻喉科诊所被诊断出来。在对患者进行详尽检查后临床怀疑该病症,早期诊断疾病并正确选择手术治疗,在某些情况下可以缓解主要症状并预防神经并发症。