Cartwright C
University of Missouri-Columbia, University Hospital and Clinics, Division of Neurosurgery 65212, USA.
J Neurosci Nurs. 2000 Aug;32(4):210-5. doi: 10.1097/01376517-200008000-00004.
Failure to recognize the signs and symptoms of tethered cord syndrome in patients with spina bifida occulta can result in tragic consequences. Of patients with tethered spinal cord, 35% have bowel and/or bladder dysfunction. Scoliosis, foot or leg length discrepancies, pes cavus, and varus or valgus deformities also can occur. Early assessment and intervention by the neuroscience nurse who is familiar with these clinical signs can help prevent significant deformities and irreversible neurological deficits.
未能识别隐性脊柱裂患者的脊髓拴系综合征体征和症状可能会导致悲剧性后果。在脊髓拴系患者中,35% 有肠道和/或膀胱功能障碍。脊柱侧弯、足或腿长度差异、高弓足以及内翻或外翻畸形也可能发生。熟悉这些临床体征的神经科学护士进行早期评估和干预有助于预防严重畸形和不可逆的神经功能缺损。