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- Recurrence of Pneumococcal Meningitis Due to Primary Spontaneous Cerebrospinal Fluid Fistulas
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題 名 | Recurrence of Pneumococcal Meningitis Due to Primary Spontaneous Cerebrospinal Fluid Fistulas=原發自發性腦脊髓液廔管導致復發性肺炎雙球菌腦膜炎 |
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作 者 | 文心怡; 周明亮; 林光麟; 高潘福; 陳志豐; | 書刊名 | 長庚醫學 |
卷 期 | 24:11 2001.11[民90.11] |
頁 次 | 頁724-728 |
分類號 | 415.9313 |
關鍵詞 | 原發自發性腦脊髓液廔管; 腦脊髓液鼻漏; Tc-99m-DTPA核子醫學腦池攝影; 復發性細菌性腦膜炎; Primary spontaneous CSF fistula; CSF rhinorrhea; Tc-99m-DTPA radionuclide cisternography; Recurrent bacterial meningitis; |
語 文 | 英文(English) |
中文摘要 | 復發性細菌性腦膜炎並不常見;如果有患者一再發生細菌性腦膜炎,就該詳查是否有潛在解剖構造的異常,或者免疫功能不全的現象。我們報告一名男孩因原發自發性腦脊髓液廔管的存在,三度罹患肺炎雙球菌腦膜炎。第二次發病以腦膜腦脊髓炎表現,雖然免疫球蛋白、補體、頭顱磁振造影及冠狀切面電腦斷層攝影都無法找出潛在病因,患者仍在出院兩個月後第三次發病。進一步免疫功能的檢查,鼻竇及顳骨高解析度電腦斷層攝影並無異常發現,直到Tc-99m-DTPA核子醫學腦池攝影(cisternography)的檢查,才證實右側岩骨一帶有異常放射活性滯留。隨後患者接受神經外科手術,修補岩部的腦膜缺損。追溯病史,患者不曾有頭部外傷或接受任何手術,也沒有腦瘤或水腦現象可能引發腦脊髓液廔管,應為原發自發性腦脊髓液廔管。病人術後不再出現腦脊髓液鼻漏,並且截至目前兩年內沒再發生腦膜炎。 |
英文摘要 | The authors report a case of pneumococcal meningitis which recurred 3 times in a Taiwanese boy due to spontaneous cerebrospinal fluid (CSF) fistulas. The first time occurred at the age of 2 years, and the second episode presented as meningoencephalomyelitis at the age of 6 years 10 months. Studies including serum levels of immunoglobulin and complements, brain magnetic resonance imaging, and coronal cranial computed tomography (CT) were negative for a specific etiology. The third episode of meningitis developed 2 months after the second episode. Repeated immunological studies and high-resolution CT of paranasal sinuses and temporal bones were negative. Technetium-99m diethylenetriamine pentaacetic acid (Tc-99m-DTPA) radionuclide cisternography revealed abnormal retention of radioactivity over the right mastoid area. Neurosurgery was undertaken to seal the dural tear and pack the petrosal fissure. Two years after surgery, he has had no further CSF leakage or meningitis. Tracing back the history, there was no head injury, cranial surgery, brain tumor, or hydrocephalus, which might have created CSF fistulas. Primary spontaneous CSF fistulas constitute the most reasonable diagnosis. In cases of recurrent bacterial meningitis, underlying anatomic defects should be carefully evaluated if there is no immune defect. |
本系統中英文摘要資訊取自各篇刊載內容。