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Boerhaave's syndrome: a differential diagnosis of chest and abdominal pain

机译:Boerhaave综合征:胸痛和腹痛的鉴别诊断

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primary osseous dysplasia or pressure-induced responses to neu rofibromas(2,8).Although the diagnosis of NF1 often relies on cardinal clin ical findings, cross-sectional imaging studies can provide valu able information in sundry settings. Particularly for NF1 patients with skull defects, CT is essential for detecting and following up the lesions, given that progressive bone erosion occurs in more than half of all cases(2) and such erosion can require calvarial reconstruction with bone grafts or titanium mesh(1). However, progressive bone resorption can predispose to long-term implant instability, the best approach to NF1 calvarial defects therefore remaining undetermined(2)
机译:原发性骨发育异常或压力引起的对神经纤维瘤的反应(2,8)。尽管NF1的诊断通常依赖于基本临床发现,但横断面影像学研究可在各种情况下提供有价值的信息。特别是对于NF1颅骨缺损的患者,CT对发现和随访病变至关重要,因为在所有病例中,有一半以上发生进行性骨侵蚀(2),并且这种侵蚀可能需要使用骨移植物或钛网重建颅骨(1) )。然而,进行性骨吸收可能会导致长期的植入物不稳定,这是治疗NF1颅骨缺损的最佳方法,因此仍未确定(2)

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