侵袭性真菌鼻炎与阿布杜森神经麻
Eirik Mathisen1, Saad Aballi2, Torstein Grønseth3
1Øre-nese-hals-avdelingen, Sykehuset Østfold.
概括
状鼻的侵入性真菌鼻炎在一个免疫能力强的患者中引起了abducens神经麻. 及时的抗真菌治疗和手术导致了康复,解决了双视和神经.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学 神经学
- 传染性疾病 传染性疾病
背景情况:
- 状鼻炎虽然不常见,但由于状鼻和神经之间存在密切的解剖关系,可以导致神经.
- 侵入性真菌鼻炎是一种罕见但严重的疾病,特别是在免疫能力强的个体中.
研究的目的:
- 报告一种罕见的侵袭性真菌鼻炎病例,该病例在一个免疫能力强的患者中引起了阿布杜森斯神经.
- 强调在成像中考虑非中枢神经系统发现的重要性以及联合医疗和手术治疗的有效性.
主要方法:
- 一个男性患者的病例介绍,他患有双重视觉和神经.
- 诊断成像检查显示, sinus opacifications 归因于Scedosporium apiospermum. 这种病原体.
- 治疗包括全身抗真菌药物 (伏利康纳) 和外科手术.
主要成果:
- 患者尽管具有免疫能力,但患有侵袭性真菌鼻炎,涉及状鼻.
- 沃里康纳和手术的成功治疗导致了鼻恢复和骨愈合.
- 阿布杜森的神经麻在四个月的随访中完全消失.
结论:
- 这一案例强调了评估神经外成像发现的重要性,即使在常规脑部扫描中也是如此.
- 有效的抗真菌治疗和手术管理对于免疫能力强的宿主中罕见的侵入性真菌感染至关重要.
- 在这种情况下,早期干预是改善患者结果的关键.
相关概念视频
Cranial Nerves: Types Part I
4.8K
Cranial nerves are responsible for transmitting motor and sensory information between the brain and various parts of the body. There are twelve pairs of cranial nerves, with the first six being essential in sensory perception, motor control, and autonomic functions related to the head and neck.
Olfactory Nerve (Cranial Nerve I)
The olfactory nerve, or cranial nerve I, is unique as it is purely sensory and dedicated to the sense of smell. This nerve originates in the olfactory epithelium of the...
Olfactory Nerve (Cranial Nerve I)
The olfactory nerve, or cranial nerve I, is unique as it is purely sensory and dedicated to the sense of smell. This nerve originates in the olfactory epithelium of the...
4.8K
Glaucoma: Overview
1.3K
Glaucoma is an eye condition characterized by increased intraocular pressure that damages the retina and optic nerve, leading to irreversible blindness if left untreated. The human eye has various components, including the cornea, iris, pupil, lens, and optic nerve. Aqueous humor is secreted by the epithelium of the ciliary body in the posterior chamber and flows through the trabecular meshwork and canal of Schlemm, maintaining normal intraocular pressure. The trabecular meshwork and the canal...
1.3K
Angle Closure Glaucoma: Treatment
1.2K
Angle-closure glaucoma, or closed-angle glaucoma, is an eye condition where the iris bulges out and blocks the iridocorneal angle, resulting in a buildup of aqueous humor and increased intraocular pressure. Immediate medical attention is necessary due to the sudden onset of symptoms. The treatment for angle-closure glaucoma includes short-term and long-term approaches. Short-term treatment involves using eye drops like pilocarpine to lower intraocular pressure by increasing aqueous humor...
1.2K
Prosopagnosia
703
Prosopagnosia, also known as face blindness, is the inability to recognize faces. In severe cases, individuals with prosopagnosia may not recognize close family members, including parents and spouses, by their faces. For instance, someone with prosopagnosia might walk past their child in a crowd, only realizing their mistake upon noticing their child's distinctive backpack or favorite jacket. Prosopagnosia specifically impairs facial recognition, while the recognition of other objects or...
703


