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首页> 外文期刊>Journal of Clinical and Diagnostic Research >Lagophthalmos- A Rare Presenting Sign in a Case of Childhood Pontine Glioma
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Lagophthalmos- A Rare Presenting Sign in a Case of Childhood Pontine Glioma

机译：湖泊滴水 - 一个罕见的呈现患者猪脊髓灰瘤的案例

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摘要

Brain stem glioma is a rare central nervous system tumour arising from glial cells which occur mostly in children. Diffuse IntrinsicPontine Gliomas (DIPG) and Focal glioma are the two types of pontine glioma. DIPGs are highly aggressive. The clinical featuresare not the same in every child. It commonly has a grave prognosis as most children die within 18 months of diagnosis. We presenta case of 10-year-old boy complaining of watering from the left eye for four days. There was no history suggesting involvementof any other cranial nerves and there was no episode of any seizure or similar history. On examination he was found to have leftlagophthalmos. Magnetic Resonance Imaging (MRI) of brain showed features of pontine glioma with mass effect. To preventexposure keratopathy, the child was started on lubricating drops/gel and lid taping and referred immediately to a cancer centre forfurther management. Patients with pontine gliomas usually complain of gait disturbance, headache, limb weakness and doublevision. To authors’ knowledge no other documented case has presented with lagophthalmos. This case is presented for the rarityof the presenting symptom and to stress the importance of picking early ophthalmic signs.
机译：脑干胶质瘤是一种罕见的中枢神经系统肿瘤，来自胶质细胞主要发生在儿童中。弥漫性IntrinsicBontine gliomas（DIPG）和焦胶质胶质瘤是两种类型的猪胶质瘤。 Dipgs非常侵略。每个孩子的临床特点都不一样。由于大多数儿童在诊断后18个月内死亡，它通常具有严重的预后。我们展示了10岁男孩的案例，抱怨从左眼浇水四天。没有历史表明任何其他颅神经涉及任何其他颅神经，没有任何癫痫发作或类似历史的集会。在考试中，他被发现有leverlagophthalmos。大脑磁共振成像（MRI）显示猪胶质瘤具有质量效应的特征。为了预防曝光角病，该儿童开始润滑滴剂/凝胶和盖胶带，并立即提到癌症中心进行癌症中心管理。猪胶质瘤的患者通常抱怨步态干扰，头痛，肢体弱点和双重。向作者的知识没有其他记录的案件呈现出伦淡的案例。本案例是罕见的症状，并强调挑选早期眼科迹象的重要性。

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