脊髓栓解后脊髓空洞的解决

Andrew R. Hsu BS , Lewis C. Hou MD , Anand Veeravagu BS , Patrick D. Barnes MD , Stephen L. Huhn MD
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引用次数: 15

摘要

脊髓空洞症是一种由脑脊液过度积聚引起的脊髓异常囊性扩张。患者可发展各种继发于未经治疗的脊髓空洞的神经功能缺损,其中一些可能是永久性的,尽管手术干预。病例描述作者提出了一例脊髓空洞、主动脉缩窄和脊髓栓系综合征的患者。一系列的x线影像显示在缩窄修复和松开系留脊髓后,胸椎喉有了初步的显著复位。然而,随后的随访影像显示部分复发。结论脊髓脊髓空洞症与脊髓栓系之间可能存在因果关系。它显示了整个脊柱的监测成像指示,以确保脊髓空洞的所有潜在病因被识别和治疗。此外,它说明了鸣管生理的复杂动态性质,并强调了手术干预后进行系列随访研究的重要性。
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Resolution of syringomyelia after release of tethered cord

Background

Syringomyelia is an abnormal cystic dilatation of the spinal cord caused by excessive accumulation of CSF. Patients can develop various neurologic deficits secondary to untreated syringomyelia, some of which can be permanent despite surgical intervention.

Case Description

The authors present a patient with syringomyelia, aortic coarctation, and tethered cord syndrome. Serial radiographic imaging demonstrated initial significant reduction of the thoracic syrinx after coarctation repair and release of tethered cord. However, subsequent follow-up imaging revealed partial recurrence.

Conclusion

This case provides evidence of a possible cause-effect relationship between syringomyelia and tethered cord. It demonstrates the indication of surveillance imaging of the entire spine to ensure that all potential etiologies of syringomyelia are identified and treated. Furthermore, it illustrates the complex dynamic nature of syrinx physiology and reinforces the importance of serial follow-up studies after surgical intervention.

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来源期刊
Surgical Neurology
Surgical Neurology 医学-临床神经学
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