尾骨折患者的头骨神经功能障碍:低诊断和临床相关性
Madelon Thevis1,2,3, Jolanda Derks1,2, Thijs T G Jansen1,2
1Dutch Academic Alliance Skull Base Pathology, Radboud University Medical Centre, Maastricht University Medical Centre + , Nijmegen/Maastricht, The Netherlands.
Journal of neurological surgery. Part B, Skull base
|October 27, 2025
概括
尾骨折 (OCF) 经常导致头骨神经功能障碍 (CND),在70%以上的病例中影响多个神经. 慢性CND后续病例很常见,需要对OCF患者进行早期和重复的神经测试.
科学领域:
- 神经学 神经学
- 创伤外科 手术 创伤外科
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 尾骨折 (OCF) 是一种复杂的损伤.
- 神经功能障碍 (CND) 是OCFs的一个潜在并发症.
- 关于OCF患者中CND的患病率和治疗的知识缺口存在.
研究的目的:
- 研究OCF患者中CND的发生率和模式.
- 为提供有关OCF患者神经 (CN) 测试时间和必要性的指导.
- 在这个人群中就被诊断出CND的管理策略提供建议.
主要方法:
- 在一级创伤中心进行了14年的回顾性队列研究.
- 分析了119个幸存的OCF病例,并详细收集了40个已诊断或疑似CND病例的详细数据.
- 排除因缺少数据而导致的过早死亡.
主要成果:
- 在OCF患者中,有三分之一 (33.6%) 患有CND (n=40/119).
- 超过70%的CND病例涉及多个CN (中位数为3).
- 面部神经麻和听力损失是侧面头骨底部骨折的OCF中常见的;58%的CND病例有慢性后果.
结论:
- 多重和慢性CND是OCF患者的重大担忧.
- 在临床怀疑时建议进行全面的CN测试,并应重复进行.
- 及早地转诊专家对于管理CND及其后果至关重要.
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