ABSTRACT
Objective, To analyze the clinical features and treatment methods of one infant with low-grade malignant myof ibroblastic sarcoma (LGMS) in the left temporal region, and to provide the basis for its diagnosis. Methods, The clinical data of one infant with LGMS in the left temporal region were collected, and the clinical features, diagnosis and treatment of the patient with LGMS were analyzed combined with the relative literatures. Results, A 4-month-old infant was admitted because of left temporal mass for 20 d. The CT image showed a subcutaneous space-occupying lesion in the left temporal region, the CT value was 20-40 HU, and the size was about 2. 0 cm × 2. 0 cm × 2. 0 cm and the lesion invaded the skull. The enhanced MRI images showed an irregular lesion in the left temporal region, the lesion invaded the skull, the border with the surrounding brain tissue was still clear, the size was about 1. 9 cm × 1. 6 cm × 2. 0 cm, and the T1WI, T2WI and FLAIR results presented as isointensity in the lesion. The lesion showed inhomogeneous enhancement. The CT and MRI results showed that the subcutaneous tumor invaded the skull, suggesting that there may be malignant tumor. The patient underwent left temporal subcutaneous intracranial and extracranial mass operation to completely resect the lesion, and the pathological diagnosis was LGMS. The patient did not receive radiotherapy or chemotherapy after operation. There was no recurrence after follow-up for 16 months. Conclusion: LGMS is a kind of invasive tumor without specific imaging findings. Total resection is an effective treatment. The pathological diagnosis is the gold standard for the diagnosis of LGMS. The LGMS patients should be given regularly follow-up after operation.
ABSTRACT
Objective:To investigate the diagnosis and treatment of one patient with pneumocephalus caused by congenital mastoid dysplasia,and to clarify the clinical features,diagnostic methods and treatment strategies of intracranial accumulation of pneumocephalus.Methods:The patient with ineffective right upper limb activity accompanied stupid speech for 12 h was admitted to hospital.After admission,the head CT and MRI examination were performed again,and the patient was diagnosed as pneumocephalus.The paitent scheduled for stoma repair,neurotrophic treatment,infection prevention and other symptomatic treatments were performed after operation;the patient was instructed avoid cough forcefully,blowing nose,defecating and sneezing to increase the intracranial pressure.Results:Due to congenital dysplasia of mastoid wall,local thinning bones and intense swimming choking cough of the patient destroyed the intracranial pressure balance to form pneumocephalus,the patient scheduled for stoma and damaged dura repair;when discharged from hospital,the patient's right upper limb muscle strength and language function returned to normal;the head CT results showed that pneumocephalus disappeared completely.Conclusion;Pneumocephalus is common in clinic,and its reason is diversiform;it should be combined with the patient's history and imaging findings to explore the causes,the most reasonable treatment measures should be performed in order to relieve the patient's symptoms of increased intracranial pressure,and promote the recovery of neural function.