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晚期脑膜炎和一个不可吸收的支架在复发的拉特克裂囊:说明案例

Simona Serioli^1,2, Vincenzo Mastropasqua², Giorgia De Rosa²

¹Division of Neurosurgery, Department of Medical and Surgical Specialties, Radiological Sciences, and Public Health, Spedali Civili of Brescia, University of Brescia, Brescia, Italy.

Journal of neurosurgery. Case lessons

|September 23, 2024

概括

复发性拉特克裂囊 (RCCs) 的管理具有挑战性. 一份病例报告强调晚期脑膜炎是用于RCC治疗的非吸收性支架的并发症,强调需要长期结局数据.

科学领域:

神经外科神经外科
内分泌学在内分泌学.
传染性疾病传染性疾病

背景情况:

对复发性拉特克裂囊 (RCC) 的管理提出了重大挑战.
内囊性支架 (类固醇释放,生物吸收/非吸收) 是对复发性RCC的非标签治疗选择.
有限的长期数据存在于RCCs的内支架使用的结果和并发症.

研究的目的:

报告与用于复发的拉特克裂囊治疗的非可吸收支架相关的晚发性脑膜炎的第一例病例.
为了突出复发性RCCs的内支架治疗的潜在长期并发症.

主要方法:

一个案例介绍的是一个31岁的女性,患有复发性RCC,并用不可吸收的支架进行治疗.
患者在支架安置5年后出现了对甲基西林敏感的黄金葡萄球菌脑膜炎.
治疗包括抗生素治疗,内镜切除支架,囊切除和鼻塞巴尔重建.

主要成果:

患者在接受抗生素治疗和切除支架后从脑膜炎中恢复过来.
在18个月的随访中,患者在神经学上保持完整,接受替代疗法,并且没有出现RCC复发的迹象.
这一病例是首次报告的晚期脑膜炎病例,该病例与用于复发性RCC的非吸收性支架有关.

结论:

对于复发的拉特克裂囊的非吸收性支架可能与晚发症并发症有关,例如脑膜炎.
需要进行进一步的研究,以确定RCC管理中的囊内支架的长期疗效,失败率和安全性.

关键词:

案例报告案例报告囊内支架 (intracystic stent) 是一种内囊内支架.脑膜炎是一种脑膜炎.不能吸收的装置装置.经常发生的拉特基裂囊.

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