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ID 115185
Author
Goji, Aya Tokushima Prefectural Central Hospital
Inoue, Miki Tokushima Prefectural Central Hospital
Kawahito, Masami Tokushima Prefectural Central Hospital
Taki, Masako Tokushima Prefectural Central Hospital
Mori, Kazuhiro Tokushima Prefectural Central Hospital
Keywords
Generalized lymphatic anomaly
Skull-base leakage
Bacterial meningitis
Magnetic resonance imaging
Osteolytic disease
Femur
Content Type
Journal Article
Description
Generalized lymphatic anomaly (GLA) is a multifocal lymphatic malformation that affects the skin, thoracic viscera, and bones. A 7-year-old boy presented with fever and disturbance of consciousness, and bacterial meningitis was diagnosed. Computed tomography and magnetic resonance imaging revealed middle skull-base leakage due to lymphatic malformation. Past history included facial palsy due to cystic tumors in the right petrous bone 4 years before onset of meningitis. At that time, pericardial effusion had been found and GLA had been diagnosed by pericardial biopsy. He achieved complete recovery under intensive care with antibiotics and mechanical ventilation. At the 3-year follow-up, the patient was healthy with no recurrence of meningitis. We should consider GLA among the differential diagnoses for osteolytic diseases in the pediatric population.
Journal Title
Brain and Development
ISSN
03877604
NCID
AA00111153
AA11521714
Publisher
The Japanese Society of Child Neurology|Elsevier
Volume
39
Issue
5
Start Page
444
End Page
447
Published Date
2017-01-13
Rights
© 2017. This manuscript version is made available under the CC-BY-NC-ND 4.0 license http://creativecommons.org/licenses/by-nc-nd/4.0/
EDB ID
DOI (Published Version)
URL ( Publisher's Version )
FullText File
language
eng
TextVersion
Author
departments
University Hospital