头骨底部参与Covid相关的犀牛轨道大脑粘菌病:综合分析
Sharmistha Chakravarty1, Nitin M Nagarkar1, Rupa Mehta1
1G.E. Road, Tatibandh, Raipur, Chhattisgarh 492099 India Department of ENT & Head and Neck Surgery, All India Institute of Medical Sciences.
概括
犀牛轨道大脑粘膜炎 (ROCM) 的头骨底部侵蚀模式会影响患者的预后. 位置较低的病变比位置较高的病变显示出更好的结果,指导治疗策略.
科学领域:
- 医学真菌学 医学真菌学
- 神经外科 神经外科
- 传染性疾病 传染性疾病
背景情况:
- 头骨底部侵蚀是犀牛轨道大脑粘膜炎 (ROCM) 进展到内并发症的关键因素.
- 了解骨基参与的模式对于预测患者的结果和指导治疗策略至关重要.
研究的目的:
- 为了评估骨基参与COVID相关性菌根结核病 (CAM) 与ROCM的模式.
- 为了将临床表现,放射学发现和手术结果与骨底部侵蚀的特定模式相关联.
主要方法:
- 在印度一家三级转诊中心对54名骨底部受伤的CAM患者的回顾性分析 (2021年5月至2021年10月).
- 头骨底部参与的分类分为子类型:基前 (BF),基 (BS),轨道顶部 (OA),基 (BO),前骨骨质炎 (FBO) 和骨骨质炎 (SBO).
主要成果:
- 观察到特定的传播模式:ethmoid/cribriform板到额叶,大病到叶,轨道顶部病变到洞穴性鼻血栓.
- 后上鼻病变进展为BF,BS,OA,FBO和SBO的病变与涉及基础关节的前下腔病变相比,结果较差.
- 位于较低位置的骨底部病变与更好的预后,更短的住院时间,更低的死亡率和更改手术的减少需要有关.
结论:
- 在ROCM中骨底部参与模式具有显著的预后影响.
- 骨底部参与的分类有助于疾病分层,预后和外科计划.
- 早期的多学科干预对于改善ROCM患者的生存结果至关重要.
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