严重的低血和双边连续性面部:一个病例报告
Mohamad Yazbeck1, Ali Msheik2, Christin Berjaoui3
1Department of Neurosurgery, Clemenceau Medical Center, Beirut, Lebanon.
Radiology case reports
|September 13, 2023
概括
严重的头部创伤可能导致面部 (FP). 这种病例突出显示了双边的面部软弱,与外围右侧和中央左侧,与低血和头部损伤有关,强调了彻底的评估.
科学领域:
- 神经学 神经学
- 创伤外科 手术 创伤外科
- 内分泌学 在内分泌学.
背景情况:
- 面部 (FP) 通常是头部创伤之后出现的,表现为由于神经损伤或而导致的单方面虚弱.
- 双边面部是罕见的,约占双边虚弱病例的3%.
- 头部创伤机制可以导致各种形式的面部.
研究的目的:
- 为了报告一种罕见的双边面部,严重头部创伤后的情况.
- 为了调查严重的低血在中部面部的潜在作用.
- 强调对创伤后面部的全面诊断评估的重要性.
主要方法:
- 案例介绍:一名28岁的女性因贝鲁特港口爆炸而受到了封闭式头部伤害.
- 临床评估单侧外围和对侧中央面部.
- 实验室调查显示严重的低血压低血症 (105 mmol/L).
- 治疗包括对低血和面部康复治疗的同位素盐水.
主要成果:
- 患者出现了右侧周围面部,随后是左侧中央面部与前部节省.
- 重度低血的纠正导致左侧面部的逐步改善.
- 右侧外围面部通过面部康复治疗得到解决.
结论:
- 严重的低血症应该被认为是中部面部的潜在原因,特别是在双边参与的创伤患者中.
- 包括模式,成像和代谢研究在内的全面评估对于诊断和治疗头部创伤后面部至关重要.
- 及时干预和量身定制的治疗可以在复杂的面部病例中取得成功的结果.
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