脊髓短暂性脑缺血发作:一过性无力伴神经根性疼痛的罕见且可治疗的病因。

IF 0.8 Q3 MEDICINE, GENERAL & INTERNAL Agri-The Journal of the Turkish Society of Algology Pub Date : 2022-04-01 DOI:10.14744/agri.2020.68889
Ferda İlgen Uslu, Hilmi Uysal
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引用次数: 0

摘要

脊髓短暂性脑缺血发作(TIA)是非常罕见的,其特征是突然发作的麻痹,感觉丧失,背部疼痛。我们提出一个病人急性疼痛截瘫和症状在几个小时内解决。我们通过文献检索确定了10例患者。其中男性5例,平均年龄53.8岁。Paraparesis/pleji出现在所有。只有2例患者没有神经根性疼痛。血管危险因素为高血压5例,吸烟5例,糖尿病1例。TIA持续时间为1分钟至24小时,最常见的病因为主动脉夹层(n=6)。4例患者有主动脉血栓。6例患者采用内科和外科方法治疗;另外四人只接受了医学治疗。在伴有疼痛的短期/持续性急性脊柱综合征中,应注意SC缺血和主动脉疾病。
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Spinal transient ischemic attack: Rare and treatable cause of transient weakness with radicular pain.

Transient ischemic attack (TIA) of spinal cord (SC) is very rare and characterized by sudden onset of paralysis, sensory loss, back pain. We present a patient with acute painful paraplegia and symptoms resolved within a few hours. We identified 10 patients in literature search. Five of them were male, the mean age of patients was 53.8. Paraparesis/pleji was present in all. Only two patients did not have radicular pain. Vascular risk factors were hypertension in five patients, smoking in five and diabetes mel-litus in one. TIA period ranged from 1 min to 24 h. The most common etiology was aortic dissection (n=6). Four patients had aortic thrombosis. Six patients were treated with medical and surgical methods; other four were treated with only medically. SC ischemia and aortic diseases should be kept in mind in short term/persistent acute spinal syndromes with pain.

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CiteScore
1.00
自引率
16.70%
发文量
22
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