科莱特-西卡德综合征:一个范围审查
Maria Paula Aguilera-Pena1, Maria A Castiblanco2,3,4,5, Valentina Osejo-Arcos2,3,4,5
1Center for Research and Training in Neurosurgery (CIEN), Bogotá, Colombia. mariapaulaaguilerap@gmail.com.
Neurosurgical review
|September 14, 2023
概括
科莱特-西卡德综合征 (CSS) 涉及神经 IX-XII . 这篇综述详细介绍了135例CSS病例,发现瘤和血管问题是常见的原因,大多数患者的病情有所改善. 了解CSS有助于定位关孔和副喉逆状空间病理.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 头部和部手术 头部和部手术
背景情况:
- 科莱特-西卡德综合征 (CSS) 是由头骨神经IX,X,XI和XII的单边的特征.
- 之前没有任何综合性审查详细介绍了被诊断患有CSS的患者的特征.
研究的目的:
- 进行范围审查,收集和描述文献中所有报告的科莱特-西卡德综合征病例.
- 分析患者的特征,病因,临床表现和与CSS相关的结果.
主要方法:
- 通过使用Embase和PubMed数据库对文献进行了范围审查.
- 包括报告病例报告或诊断为CSS的患者病例系列的文章和摘要.
- 病例被分为"CSS" (仅限IX-XII神经干扰) 和"CSS-plus" (其他神经障碍的CSS).
主要成果:
- 包括来自126篇文章的135名患者; 67.7%是男性.
- 最常见的表现是食障碍和语音障碍.
- 瘤 (39.6%) 和血管 (27.6%) 的病因是最常见的. 大多数患者的病情有所改善.
- 上孔 (44.4%) 和副后状空间 (28.9%) 是受影响最严重的解剖区域.
- 21%的患者有额外的头骨神经损伤,主要是CN VII和VIII.
结论:
- 科莱特-西卡德综合征与特定的临床特征和病因有关,主要是瘤和血管.
- 综合征是局部病理的有用指标,在上孔和喉后状空间.
- 报告CSS病例需要更严格,以提高理解和临床实用性.
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