创伤后格拉登尼戈综合征:在抗生素时代不常见的并发症?
Leidy D Ballén Pinilla1, María V Suárez1, Claudia Quijano2
1Pediatrics School of Medicine and Health Sciences, Universidad del Rosario, Bogotá, Colombia.
Archivos argentinos de pediatria
|January 20, 2026
概括
耳部创伤后,可以发生格拉登尼戈综合征 (GS),影响头骨神经V和VI. 及时诊断和治疗导致一个儿科病例完全康复.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 儿科神经学 儿科神经学
- 传染性疾病 传染性疾病
背景情况:
- 格拉登尼戈综合征 (GS) 是中耳炎的一种罕见并发症.
- 它涉及到感染扩散到石顶部,可能会影响头骨神经V和VI.
- 穿透耳朵的创伤是GS的不寻常原因.
研究的目的:
- 报告一个罕见的儿科格拉登尼戈综合征病例.
- 突出突破性创伤作为枪伤的触发因素.
- 强调早期诊断和多学科管理.
主要方法:
- 一个5岁男孩的案例介绍,他患有创伤后的GS.
- 临床评估,包括神经评估.
- 图像研究:CT用于石骨侵蚀,MRI用于脑膜增大.
- 用抗生素和透气管进行治疗.
主要成果:
- 患者出现了严重的耳朵疼痛,耳,水平双眼视 (VI神经麻) 和半面部低听力 (V神经麻).
- 扫描显示了石骨侵蚀;MRI显示脑膜增强没有.
- 通过抗生素治疗和通风管实现了完整的临床解决.
结论:
- 穿透耳朵的创伤可以在儿童中引发格拉登尼戈综合征.
- 早期的临床怀疑和及时的成像对诊断至关重要.
- 多学科的方法确保了复杂的耳炎的成功管理.
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