[颞骨自发性脑脊液漏]。

Harefuah Pub Date : 2023-08-01
Amiel A Dror, Ophir Handzel
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引用次数: 0

摘要

导语:自发性脑脊液(CSF)渗漏到颞叶间隙是脑膜炎的一个重要危险因素,常导致衰弱性神经系统疾病甚至死亡。脑脊液泄漏可能是由于外伤、先天性畸形或手术引起的,但在大多数情况下,它们是自发发生的。在自发性脑脊液渗漏中,与其他病因不同的是,患者的临床病史中没有明显的触发事件指向这种诊断。自发性脑脊液渗漏的临床表现并不独特,其特点是患者的主诉,如听力损失和听觉充盈。这些症状通常与常见疾病有关,如浆液性中耳炎。由于这些原因,自发性脑脊液泄漏的典型诊断延迟,在某些情况下可能持续数年,使患者暴露于脑膜感染,而没有提供有效的手术治疗来保证他们的安全和保护。
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[SPONTANEOUS CEREBROSPINAL FLUID LEAK OF THE TEMPORAL BONE].

Introduction: Spontaneous cerebrospinal fluid (CSF) leak into the temporal air spaces is a prominent risk factor for meningitis, often leading to debilitating neurological morbidities and even death. CSF leaks may arise due to trauma, congenital malformation, or surgery, but in most cases, they develop spontaneously. In spontaneous CSF leaks, no obvious triggering event is apparent in the patient's clinical history that points to this diagnosis, in contrast to some of the other etiologies. The clinical presentation of spontaneous CSF leaks is not unique and is characterized by patients' complaints, such as hearing loss and aural fullness. These symptoms are commonly associated with prevalent conditions, such as serous otitis media. For these reasons, a typical diagnostic delay of spontaneous CSF leaks, which can last for years in some cases, leaves the patients exposed to meningeal infection without being offered an efficient surgical treatment to keep them safe and protected.

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