颈椎手术后交感神经损伤所致的心肌顿抑
Myocardial stunning caused by sympathetic nerve injury after an operation on cervical vertebrae.
作者信息
Hatakeyama S, Oda Y, Kurasawa T, Kimata S
机构信息
Department of Internal Medicine, Showa General Hospital, Tokyo, Kodaira-City, Japan.
出版信息
Jpn Circ J. 1999 Mar;63(3):216-8. doi: 10.1253/jcj.63.216.
In this case, electrocardiographic inverted T waves appeared after cervical laminaplasty and echocardiogram showed temporary wall motion abnormality. Myocardial metaiodobenzylguanidine (MIBG) uptake was obviously reduced in the same area where the wall motion abnormalities appeared in the echocardiogram, although no abnormalities were detected with myocardial thallium scintigraphy and coronary angiography. The myocardial stunning was caused by injury to the sympathetic nerves from a surgical procedure on the cervical vertebrae.
在这种情况下，颈椎椎板成形术后出现心电图T波倒置，超声心动图显示暂时性室壁运动异常。心肌间碘苄胍（MIBG）摄取在超声心动图显示室壁运动异常的同一区域明显降低，尽管心肌铊闪烁扫描和冠状动脉造影未检测到异常。心肌顿抑是由颈椎手术对交感神经的损伤所致。
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