一名有症状患者的颅骨和颈椎解剖结构同时存在多种变异--不常见还是少见?一项基于 CT 的病例研究。

IF 1.2 4区 医学 Q3 ANATOMY & MORPHOLOGY
Izabela Zamojska, Joanna Jaworek-Troć, Bartosz Kołodziejczyk, Michał Zarzecki, Przemysław Pękala, Jerzy Andrzej Walocha, Jarosław Zawiliński, Marcin Lipski
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引用次数: 0

摘要

导言:在颅骨和颈椎的许多解剖变异中,有些可能是疾病的潜在原因,而有些则在临床上保持沉默。它们各自的估计患病率各不相同,但从现有数据来看,无法明确它们共存的频率有多高。下面的研究介绍了七种异常的例子,其中至少有几种在受检病人身上有临床表现:病例报告:一名 35 岁的波兰妇女,患有慢性鼻窦炎,接受了计算机断层扫描。根据报告的症状,发现并处理了乙状窦前细胞粘膜轻度增厚、双侧牛皮状结节、右侧中鼻甲畸形、双侧钩突气化和蝶窦阻塞性气化。同时还发现了其他临床上未发现的解剖异常--即前蝶窦韧带骨化、内侧基底管不完整和双侧弓状孔:据作者所知,本病例报告是第一例同时存在多种解剖异常的病例,其中一些异常在患者的慢性鼻窦炎中起到了关键作用。同一解剖部位或功能单元同时存在多种变异可能会加重患者的临床表现。发现单个异常时,应彻底调查其他可能存在的变异。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Multiple coexisting variations of skull and cervical spine anatomy in a symptomatic patient - uncommon or uncommonly noticed? A CT-based case study.

Introduction: Among many anatomical variations of the skull and cervical spine, some may be an underlying cause of a disease, while others remain clinically silent. The estimated individual prevalences of them differ, but given the available data it is impossible to clarify how frequently they coexist with each other. The following study presents an example of seven anomalies, amongst which at least few have manifested clinically in the examined patient.

Case report: A 35 y.o. Polish woman who suffered from chronic sinusitis was subjected to a computed tomography scan. Mild thickening of the anterior ethmoidal cells' mucosa, bilateral concha bullosa, paradoxical right middle turbinate, bilateral uncinate process pneumatization and arrested pneumatization of sphenoid sinus were found and addressed in context of the reported symptoms. Simultaneously other, clinically silent anatomical anomalies, were found - namely ossification of the anterior petroclinoid ligament, incomplete medial basal canal and bilateral arcuate foramen.

Conclusion: To the best knowledge of the authors, this case report is the first to present such a coexistence of this many various anatomical anomalies, among which some played a crucial part in the chronic sinusitis experienced by the patient. Concurrence of multiple variations in the same anatomical area or functional unit may exacerbate clinical presentation of a patient. Identifying a single anomaly ought to warrant a thorough investigation into any other potentially existing variants.

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来源期刊
Folia morphologica
Folia morphologica ANATOMY & MORPHOLOGY-
CiteScore
2.40
自引率
0.00%
发文量
218
审稿时长
6-12 weeks
期刊介绍: "Folia Morphologica" is an official journal of the Polish Anatomical Society (a Constituent Member of European Federation for Experimental Morphology - EFEM). It contains original articles and reviews on morphology in the broadest sense (descriptive, experimental, and methodological). Papers dealing with practical application of morphological research to clinical problems may also be considered. Full-length papers as well as short research notes can be submitted. Descriptive papers dealing with non-mammals, cannot be accepted for publication with some exception.
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