关键词: Congenital disorders Neonatal and paediatric intensive care Neurosurgery

Mesh : Humans Female Arnold-Chiari Malformation / complications Infant, Newborn Magnetic Resonance Imaging Treatment Outcome

来  源:   DOI:10.1136/bcr-2023-259479

Abstract:
The authors were presented with a term female neonate with a large occipital mass, who was already being treated for neonatal pneumonia at another hospital. On assessment, apart from the mass, the patient presented with an unremarkable systemic and neurological physical examination. She underwent repair of the occipital mass, which was complicated by nosocomial ventriculitis. However, the patient was discharged well after completing antibiotic treatment. On regular outpatient follow-ups, the patient presented with a good cry, suck, and activity. There have been no reports of seizures, decrease in sensorium, aspiration episodes, stridor or any other complaints, apart from poor head and sitting control. The workup also showed profound bilateral hearing loss. Despite these complications, the patient currently exhibits good visual and social development. This is attributed to timely intervention as well as the minimal amount of herniated cerebellar tissue that the patient presented with, highlighting the individualised management and outcomes for cases of Chiari malformation type III.
摘要:
作者提出了一个术语女性新生儿有一个大的枕骨肿块,已经在另一家医院接受新生儿肺炎治疗。关于评估,除了质量,患者进行了不明显的全身和神经系统体检。她接受了枕骨肿块的修复,并发了医院性脑室炎。然而,患者在完成抗生素治疗后出院。在定期的门诊随访中,病人哭了一声,吸,和活动。没有癫痫发作的报告,感官减少,吸气发作,stridor或任何其他投诉,除了糟糕的头部和坐姿控制。检查还显示严重的双侧听力损失。尽管有这些并发症,患者目前表现出良好的视觉和社会发展。这归因于及时的干预以及患者出现的最小量的脑疝组织,强调Chiari畸形III型病例的个性化管理和结果。
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