一例病例报告和文献综述:成年后因手臂肿胀而急性出现的奇拉氏畸形 I 型。

IF 0.7 Q4 CLINICAL NEUROLOGY Spinal Cord Series and Cases Pub Date : 2023-07-06 DOI:10.1038/s41394-023-00583-5
Bassam Fallatah, Haitham Ben Ali, Muhammad Imran Bhatti, Shahid Bashir
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引用次数: 0

摘要

导言:Ⅰ型奇异畸形(Chiari malformation I,CM-I)合并颈胸椎鞘膜积液可缓慢进展,这种情况在临床上非常常见,尤其是在儿童中:患者通常表现为头痛、头晕和麻木等慢性症状,但很少有文献报道儿童患者因 CM-I 而出现急性神经功能缺损。在此,我们报告了一个不寻常的病例:患者突然出现手臂肿胀,但没有任何诱发因素可以解释其诊断:讨论:这是一份图文并茂的病例报告和文献综述。患者术后情况有所改善,手臂和手部肿胀消失,但在复诊时仍主诉持续麻木。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Acute presentation of Chiari malformation type I in adulthood with arm swelling, a case report and literature review.

Introduction: Chiari malformation type I (CM-I) with cervicothoracic syringomyelia can progress slowly this condition which is very common in clinical practice, particularly in children.

Case presentation: Patients typically present with chronic complaints, including headache, dizziness, and numbness, although are few reports in the literature describing pediatric patients who developed acute neurological deficits caused by CM-I. Here, we report an unusual presentation of this condition; the patient presented with sudden onset arm swelling with no precipitating factors that could explain the diagnosis.

Discussion: This is an illustrated case report and literature review. The patient's condition improved post-operatively; in terms of arm and hand swelling which resolved, but he still complained of persistent numbness on a follow-up visit.

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来源期刊
Spinal Cord Series and Cases
Spinal Cord Series and Cases Medicine-Neurology (clinical)
CiteScore
2.20
自引率
8.30%
发文量
92
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