颅骨过度气化诊治并文献复习

Diagnosis and management of cranial bone hyperpneumatization( A case report and literature review)

目的颅骨过度气化较为罕见,通过介绍诊治的颅骨过度气化患者,了解颅骨过度气化的发病机理。方法分析颅骨过度气化患者影像学表现、临床表现及治疗结果,结合国内外相关文献进行复习。结果颅骨过度气化发病机理可能与颅咽管功能障碍、球阀机制及Valsalva手法有关。颅骨过度气化多表现为颅骨气腔形成、局部膨隆、局部骨质破坏等,可涉及颅盖骨、颅底骨、上颈椎等部位。局部部位的过度气化及骨质缺损可通过手术治疗获得确切疗效。结论颅骨过度气化较为罕见,对其临床表现、影像学表现、诊断及治疗的进一步认识可为相关学科医师正确识别本病提供可靠依据。

Objective Cranial bone hyperpneumatization is fairly rare but has been increasingly reported in recent years. This article aims to comprehend its pathogenesis via introducing the diagnosis and treatment of one patient suffering from cranial bone hyperpneumatization. Methods Clinical data including clinical manifestations, imaging characteristics, diagnosis, surgical procedure and outcome of a patient with cranial bone hyperpneumatization were analyzed retrospectively with literature review. Results The pathogenesis of cranial bone hyperpneumatization might be associated with craniopharyngeal dysfunction, ball valve mechanism and Valsalva technique. In recent years, the research and recognition about it was gradually increased. Cranial bone hyperpneumatization could be presented as cavity formation, local swelling and bone destruction. The lesion might involve calvarium, skull base, upper cervical vertebrae and so on. Definite surgical effect for localized excessive gasification and bone defects has been achieved. Conclusion Cranial bone hyperpneumatization is relatively rare. Further acquaintance with its clinical manifestations, imaging performance, diagnosis and treatment can provide reliable evidence for correct identification of this disease in clinical practice.