دورية أكاديمية
Intracranial Pseudoaneurysm Caused by Cerebral Paragonimiasis in Pediatric Patients.
| العنوان: | Intracranial Pseudoaneurysm Caused by Cerebral Paragonimiasis in Pediatric Patients. |
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| المؤلفون: | Li L; Department of Neurosurgery; Ministry of Education Key Laboratory of Child Development and Disorders; National Clinical Research Center for Child Health and Disorders; China International Science and Technology Cooperation Base of Child Development and Critical Disorders; Chongqing Key Laboratory of Pediatrics; Children's Hospital of Chongqing Medical University, Chongqing, P.R. China., Zhang Y; Department of Radiology; Ministry of Education Key Laboratory of Child Development and Disorders; National Clinical Research Center for Child Health and Disorders; China International Science and Technology Cooperation Base of Child Development and Critical Disorders; Chongqing Key Laboratory of Pediatrics; Children's Hospital of Chongqing Medical University, Chongqing, P.R. China., Zhu J; Department of Pathology, Chongqing Medical University, Chongqing, P.R. China., Zhai X; Department of Neurosurgery; Ministry of Education Key Laboratory of Child Development and Disorders; National Clinical Research Center for Child Health and Disorders; China International Science and Technology Cooperation Base of Child Development and Critical Disorders; Chongqing Key Laboratory of Pediatrics; Children's Hospital of Chongqing Medical University, Chongqing, P.R. China., Cai J; Department of Radiology; Ministry of Education Key Laboratory of Child Development and Disorders; National Clinical Research Center for Child Health and Disorders; China International Science and Technology Cooperation Base of Child Development and Critical Disorders; Chongqing Key Laboratory of Pediatrics; Children's Hospital of Chongqing Medical University, Chongqing, P.R. China., He L; Department of Radiology; Ministry of Education Key Laboratory of Child Development and Disorders; National Clinical Research Center for Child Health and Disorders; China International Science and Technology Cooperation Base of Child Development and Critical Disorders; Chongqing Key Laboratory of Pediatrics; Children's Hospital of Chongqing Medical University, Chongqing, P.R. China., Liang P; Department of Neurosurgery; Ministry of Education Key Laboratory of Child Development and Disorders; National Clinical Research Center for Child Health and Disorders; China International Science and Technology Cooperation Base of Child Development and Critical Disorders; Chongqing Key Laboratory of Pediatrics; Children's Hospital of Chongqing Medical University, Chongqing, P.R. China. Electronic address: liangping868@sina.com. |
| المصدر: | Pediatric neurology [Pediatr Neurol] 2020 Aug; Vol. 109, pp. 47-51. Date of Electronic Publication: 2020 Apr 08. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Elsevier Science Publishing Country of Publication: United States NLM ID: 8508183 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-5150 (Electronic) Linking ISSN: 08878994 NLM ISO Abbreviation: Pediatr Neurol Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: New York Ny : Elsevier Science Publishing Original Publication: Chippewa Falls, Wis. : Professional Publications, [c1985- |
| مواضيع طبية MeSH: | Aneurysm, False/*diagnosis , Central Nervous System Helminthiasis/*diagnosis , Intracranial Hemorrhages/*diagnosis , Paragonimiasis/*diagnosis, Adolescent ; Aneurysm, False/etiology ; Aneurysm, False/surgery ; Central Nervous System Helminthiasis/blood ; Central Nervous System Helminthiasis/complications ; Cerebral Angiography ; Child ; Child, Preschool ; Computed Tomography Angiography ; Female ; Follow-Up Studies ; Humans ; Intracranial Hemorrhages/etiology ; Male ; Paragonimiasis/blood ; Paragonimiasis/complications |
| مستخلص: | Background: We investigated the proportion of pediatric patients with cerebral paragonimiasis and intracranial hemorrhage who have intracranial pseudoaneurysms. Methods: Images of 17 pediatric patients with cerebral paragonimiasis that first manifested as secondary intracranial hemorrhage were evaluated. All patients underwent computed tomographic angiography before surgery. A diagnosis of cerebral paragonimiasis was confirmed based on a positive Paragonimus-specific antibody test in serum samples from all 17 patients. Cerebral paragonimiasis in five of the 17 patients was further confirmed by histopathological examination of surgical specimens. Results: Computed tomographic angiographic images for six of the 17 patients (35.3%) showed the presence of intracranial pseudoaneurysms. Follow-up computed tomographic angiographic scans two years later showed that two of the six patients had persistent pseudoaneurysms and underwent aneurysmectomy. The diagnosis of pseudoaneurysm was confirmed by histopathological examination postsurgery. In another two of the six patients, the pseudoaneurysm lesions were absorbed and could no longer be seen on three- to six-month follow-up scans. The final two patients with pseudoaneurysms are still under follow-up. Intracranial pseudoaneurysms with various degrees of surrounding hemorrhage were frequently observed at first manifestation. Conclusions: The rupture of intracranial pseudoaneurysms is a common characteristic feature of secondary intracranial hemorrhage caused by cerebral paragonimiasis in pediatric patients. (Copyright © 2020 Elsevier Inc. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Cerebral paragonimiasis; Computed tomography angiography; Intracranial hemorrhage; Pediatric; Pseudoaneurysm |
| تواريخ الأحداث: | Date Created: 20200511 Date Completed: 20210615 Latest Revision: 20210615 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1016/j.pediatrneurol.2020.03.018 |
| PMID: | 32386792 |
| قاعدة البيانات: | MEDLINE |
Full Text via ClinicalKey 
Full Text Finder | تدمد: | 1873-5150 |
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| DOI: | 10.1016/j.pediatrneurol.2020.03.018 |