一名青少年继发于咽后脓肿的头颅多发性神经病:多学科管理和临床解决方案

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引用次数: 0

摘要

导言颅神经缺损是一种罕见的颈部深间隙感染并发症,但其最佳治疗方法仍不明确。病例报告我们介绍了一名 15 岁男性患者的病例和临床症状,该患者在咽后脓肿的情况下出现多发性颅神经缺损。结论我们认为,本病例强调了与颈深间隙感染相关的颅多发性神经病应采取综合治疗方法,如果最大限度的药物治疗无效,应特别考虑手术减压。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Cranial polyneuropathy secondary to retropharyngeal abscess in an adolescent: Multidisciplinary management and clinical resolution

Introduction

Cranial nerve deficits are a rare but described complication of infection in the deep spaces of the neck and their optimal management remains unclear.

Case report

We present the case and clinical resolution of a fifteen-year-old male with multiple cranial nerve deficits in the setting of a retropharyngeal abscess. Cranial nerve IX involvement was postulated based on gustatory testing and clinical resolution was achieved after surgical management.

Conclusion

We believe that this case underscores that cranial polyneuropathy associated with deep neck space infections should warrant a comprehensive approach with specific consideration for surgical decompression if maximal medical treatments fails.

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