卡尔瓦里结核病:从外科手术转向保守方法的模式转变
Vivek Kumar1, Varun Aggarwal1, Gopal Krishna1
1Department of Neurosurgery, Pandit Bhagwat Dayal Sharma Post Graduate Institute of Medical Sciences, Rohtak, Haryana, India.
Asian journal of neurosurgery
|November 28, 2024
概括
卡尔瓦里结核病 (TB) 是一种罕见的疾病,但难以诊断. 保守的管理,包括精细针吸收细胞学和与抗结核治疗的鼻切除,对于大多数头骨结核病例是有效的.
科学领域:
- 神经学 神经学
- 传染性疾病 传染性疾病
- 在瘤学瘤学.
背景情况:
- 结核病 (TB) 在印度是流行病,但结核病很少见.
- 卡尔瓦里结核病表现出各种症状,使诊断和治疗复杂化.
- 这项研究重点关注印度结核病的各种表现.
研究的目的:
- 报告一系列15名卡尔瓦里结核病患者的病例.
- 分析各种临床表现,诊断挑战和管理结果.
- 突出早期诊断和结核病适当治疗的重要性.
主要方法:
- 在2018-2021年期间接受治疗的15名结核病患者的回顾性分析.
- 对临床特征,放射学发现和管理策略的审查.
- 对保守性和外科手术干预的治疗结果的评估.
主要成果:
- 该研究包括15名患者 (9名男性,年龄12-45岁),平均症状持续时间为2.9个月.
- 常见的症状包括头皮胀,鼻排泄和疼痛,4名患者先前患有肺结核病,2名患者HIV阳性.
- 脑部成像显示出骨质侵蚀的外围采集;11名患者进行了保守的治疗,4名患者进行了手术. 一名患有脑水和脑膜炎的患者死亡.
结论:
- 卡尔瓦里结核病虽然很罕见,但需要及时诊断和管理.
- 保守治疗 (FNAC,鼻切除) 与抗结核治疗相结合是主要的方法.
- 手术仅适用于广泛的疾病或显著的质量影响.
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