Seven Distinct Coexistent Cranial and Spinal Anomalies
Seven Distinct Coexistent Cranial and Spinal Anomalies
复制标题
七种不同的共存颅骨和脊柱异常
DOI：
10.1159/000094070
复制
发表时间：
2006
影响因子：
0.7
通讯作者：
M. Baykaner
中科院分区：
文献类型：
--
作者：
H. Emmez;N. Tokgöz;F. Doğulu;Muhammed Bahadir Yilmaz;Aydemir Kale;M. Baykaner
脊柱裂存在多个颅和脊柱异常是众所周知的，然而，同时存在七种不同的严重异常是非常罕见的。异常的位置，病人的年龄和介绍是其他有趣的方面提出的情况。病例报告：一个1岁的女孩，头部增大，腰骶部脊髓脊膜膨出（MMC）大，感染，在昏迷状态下被送往急诊室。进一步的检查发现脑积水、基亚里畸形、脊髓积水、脊髓分裂畸形、真皮窦道、腰骶MMC和脊髓栓系。不幸的是，患者在入院后3天死于脑膜炎和败血症。讨论：同时存在七种不同的颅脊髓异常是极不寻常的。需要通过磁共振成像进一步检查相关异常、早期分流放置和MMC修复，以防止脊柱裂中这种危及生命的情况。
Existence of multiple cranial and spinal anomalies in spina bifida is well known; however, coexistence of seven different severe anomalies is extremely rare. The location of the anomalies, the patient’s age and presentation are other interesting aspects of the presented case. Case Report: A 1-year-old girl with an enlarged head and big, infected lumbosacral myelomeningocele (MMC) was admitted to the emergency department in a comatose state. Further investigations revealed hydrocephalus, Chiari malformation, syringohydromyelia, split cord malformation, dermal sinus tract, lumbosacral MMC, and tethered cord. Unfortunately, the patient died 3 days after admission because of meningitis and sepsis. Discussion: Coexistence of seven different craniospinal anomalies is extremely unusual. Further investigations with magnetic resonance imaging for associated anomalies, early shunt placement and MMC repair are required to prevent this life-threatening condition in spina bifida.