腰椎管狭窄患者的横贯脊髓炎：一例报告和警示故事。

Q4 Medicine JBJS case connector Pub Date : 2025-02-06 eCollection Date: 2025-01-01 DOI:10.2106/JBJS.CC.24.00514

Elizabeth Driskill, D Keith Wells, Stephen D Lockey

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引用次数: 0

摘要

病例：我们报告了一个78岁的男性腰椎管狭窄的病例，他在发展为进行性双侧下肢麻木和步态障碍后被转诊为紧急脊柱手术评估。进一步的检查显示胸椎脊髓水肿符合病毒后横断面脊髓炎。他接受非手术治疗，最后随访时临床改善至基线。结论：本病例说明了当腰椎管狭窄患者出现非典型神经系统症状时，保持广泛的鉴别诊断的重要性。全面的病史、体格检查和检查可以避免不必要的脊柱手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Transverse Myelitis in a Patient with Lumbar Stenosis: A Case Report and Cautionary Tale.

Case: We present a case of a 78-year-old man with lumbar stenosis who was referred for urgent spine surgery evaluation after the development of progressive bilateral lower extremity numbness and gait disturbance. Additional workup demonstrated thoracic cord edema consistent with a postviral transverse myelitis. He was treated nonoperatively with clinical improvement to his baseline at the final follow-up.

Conclusion: This case illustrates the importance of maintaining a broad differential diagnosis when patients with lumbar stenosis present with atypical neurologic symptoms. A thorough history, physical examination, and workup can prevent unnecessary spine surgery.

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.