在后COVID时代的波特的胀瘤
Siegfried J Adelhoefer1, Eric M Jackson2, Mari Groves2
1Division of Pediatric Neurosurgery, Department of Neurosurgery, Johns Hopkins University School of Medicine, Baltimore, USA. jason.adelhoefer@gmail.com.
概括
波特膨胀瘤 (PPT) 是额头鼻炎的一个严重并发症. 早期的手术和抗生素导致最近美国队列中92%的完全康复率.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 传染性疾病 传染性疾病
背景情况:
- 波特膨胀瘤 (PPT) 是额头鼻炎的内并发症,可能导致严重的神经问题.
- 症状包括头痛,脑周胀,在某些情况下,发作或血栓形成.
- 虽然从历史上看与鼻炎有关,但在COVID-19后已经注意到PPT病例的增加.
研究的目的:
- 分析患有波特膨胀瘤的患者的人口统计,临床表现和结果.
- 调查PPT和COVID-19之间的潜在联系.
- 提供关于美国报告的最大PPT队列的数据.
主要方法:
- 从2020年到2024年在美国主要的第三级推中心治疗的24名患者的回顾性评估.
- 收集的数据包括临床表现,诊断工作,手术方法和康复状态.
- 主要结局是恢复状态 (完全,部分,死亡).
主要成果:
- 24名患者 (17名男孩) 呈现出鼻炎 (75%),眼周胀 (71%) 和发烧 (63%);33.3%的人有发作.
- 大多数患者经历了双额头骨切除和额头鼻切除.
- 92%的患者完全康复,有1例部分康复和1例死亡 (由于无关恶性瘤).
结论:
- 早期的手术干预和广泛的抗生素对于治疗波特瘤至关重要.
- 在这个队列中没有确定COVID-19和PPT之间的因果关系.
- 提高PPT意识对于在后COVID时代的最佳患者护理至关重要.
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