狗咬后轨道脑脊液泄漏:一个案例报告
Bilal Bahadır Akbulut1, Elif Bolat1
1Ege University Faculty of Medicine, Department of Neurosurgery, İzmir, Türkiye
Turkish journal of ophthalmology
|May 31, 2024
概括
狗咬伤导致一个孩子罕见的脑脊液 (CSF) 泄漏,呈现为增加的撕裂. 使用脑膜上部切割术进行的手术修复成功地阻止了CSF眼.
科学领域:
- 眼科医生 眼科 眼科
- 神经外科 神经外科
- 儿科创伤 儿童创伤
背景情况:
- 透轨道损伤,特别是在儿童中,需要仔细评估相关并发症.
- 大脑脊髓液 (CSF) 眼,或从眼睛中泄漏的CSF,是头部创伤或手术干预的罕见但严重的后果.
- 区分CSF眼和 (过度撕裂) 可能是具有挑战性的,特别是在儿科病例中.
研究的目的:
- 报告儿童脑脊液 (CSF) 眼病例,此病例发生在狗咬伤引起的透性附损伤后.
- 要突出诊断挑战和成功的手术管理这种罕见的条件.
- 强调特定的临床症状在诊断CSF丸中的重要性.
主要方法:
- 一名患有穿透轨道损伤的4岁男孩接受了临床评估,包括评估撕裂模式与位置变化和瓦萨尔瓦机动.
- 诊断测试包括光环标志和β-转激素测定,以确认CSF泄漏.
- 手术干预包括用纤维素粘合剂进行长期撕裂修复的脑膜上部切割和自身状骨移植.
主要成果:
- 患者呈现出增加的眼,加剧了逆向特伦登堡姿势和瓦萨尔瓦机动,暗示CSF泄漏.
- 阳性光环标志和β转移素测试证实了脑脊液 (CSF) .
- 脊髓眼的术后解决得到了,在4年的随访中没有复发.
结论:
- 透轨道创伤可能导致罕见的脑脊液 (CSF) 囊,模仿增加的水.
- 光环标志和位置/机动诱导的流体泄漏变化是CSF眼的关键诊断指标.
- 快速的手术修复,例如上脑膜切割术,可以有效地管理CSF泄漏并预防长期并发症.
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