抑郁症和阴症是桃腺细菌瘤罕见的伪装表现
Kah-Hie Wong1, Teck-Chee Cheng1, Suria Hayati Md Pauzi2
1Department of Ophthalmology, Universiti Kebangsaan Malaysia Medical Centre, Kuala Lumpur, MYS.
Cureus
|August 28, 2023
概括
罕见的中脑病变会导致收-收缩性阴影和行为变化. 这一案例突出了松果腺生殖瘤,表现为抑郁和眼动异常,强调需要对此类症状进行彻底调查.
科学领域:
- 神经学 神经学
- 儿科瘤学 儿科瘤学
- 眼科医生 眼科 眼科
背景情况:
- 收 - 收缩阴影和行为变化可能表明严重的中脑病变.
- 一个13岁的男孩出现了头痛,抑郁症,高睡眠症和精神运动减慢.
研究的目的:
- 报告一种罕见的松果腺生殖瘤病例,呈现异常症状.
- 为了强调行为变化掩盖内病理所带来的诊断挑战.
主要方法:
- 临床检查包括眼底镜和眼动力评估.
- 磁共振成像 (MRI) 用于内病变的检测.
- 组织病理学诊断的活检和随后的化疗和放射治疗.
主要成果:
- 患者表现出收-收缩性阴囊, papilledema,以及与帕里诺综合征一致的迹象.
- 核磁共振扫描显示出一个巨大的桃体,导致阻塞性水脑和脑.
- 活检证实松果腺生殖瘤,它对化疗和放射治疗反应良好.
结论:
- 亚急性行为变化,特别是伴随着像眼一样的异常眼动,可以掩盖危及生命的内瘤.
- 早期和全面的诊断工作对于识别儿科患者的这种关键状况至关重要.
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