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原发性脊髓拴系综合征:一种隐匿性疾病的诊断与治疗

Primary tethered cord syndrome: diagnosis and treatment of an insidious defect.

作者信息

Cartwright C

机构信息

University of Missouri-Columbia, University Hospital and Clinics, Division of Neurosurgery 65212, USA.

出版信息

J Neurosci Nurs. 2000 Aug;32(4):210-5. doi: 10.1097/01376517-200008000-00004.

DOI:10.1097/01376517-200008000-00004
PMID:10994534
Abstract

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.

摘要

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。

相似文献

1
Primary tethered cord syndrome: diagnosis and treatment of an insidious defect.原发性脊髓拴系综合征:一种隐匿性疾病的诊断与治疗
J Neurosci Nurs. 2000 Aug;32(4):210-5. doi: 10.1097/01376517-200008000-00004.
2
[Tethered cord syndrome--our three cases and the review of the literature (author's transl)].[脊髓栓系综合征——我们的三例病例及文献综述(作者译)]
No Shinkei Geka. 1978 May;6(5):473-8.
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Tethered cord syndrome complicating spina bifida occulta. A case report.隐性脊柱裂合并脊髓拴系综合征。病例报告。
Am J Phys Med Rehabil. 1991 Aug;70(4):213-4. doi: 10.1097/00002060-199108000-00010.
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Diastematomyelia and structural spinal deformities.脊髓纵裂与脊柱结构畸形。
J Bone Joint Surg Am. 1980;62(4):520-8.
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Spina bifida occulta. Foot deformities, enuresis and vertebral cleft: clinical picture and neurophysiological assessment.
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The tethered cord syndrome in adults with spina bifida occulta.成人隐性脊柱裂中的脊髓拴系综合征。
Neurol Res. 2004 Oct;26(7):735-40. doi: 10.1179/016164104225017956.
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Intraspinal lipomas in infancy and childhood causing a tethered cord syndrome.婴儿期和儿童期引起脊髓栓系综合征的椎管内脂肪瘤。
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引用本文的文献

1
Fully Endoscopic Interlaminar Detethering of Spinal Cord in Tethered Cord Syndrome: A Case Report and Technical Description.脊髓拴系综合征中脊髓的全内镜下椎间孔松解术:一例报告及技术描述
Korean J Spine. 2015 Dec;12(4):287-91. doi: 10.14245/kjs.2015.12.4.287. Epub 2015 Dec 31.
2
Endoscopic spinal tethered cord release: operative technique.内镜下脊髓拴系松解术:手术技术
Childs Nerv Syst. 2009 May;25(5):577-81. doi: 10.1007/s00381-008-0800-8. Epub 2009 Feb 11.