Sun J C, Steinbok P, Cochrane D D
Department of Pediatric Neurosurgery, British Columbia Children's Hospital, Vancouver, British Columbia, Canada.
Pediatr Neurosurg. 2000 Sep;33(3):118-22. doi: 10.1159/000028992.
Little is known about the long-term prognosis of patients with cervical myelocystoceles and meningoceles. In this study, we report the long-term follow-up (average 10 years and 8 months) of 8 patients with cervical myelocystoceles and meningoceles. Neurologic, orthopedic, urologic and psychosocial status was assessed on long-term follow-up. The results indicate that in patients with cervical myelocystoceles, neurologic deficits become noticeable in the first year of life as the infant matures. Motor deficit was common in these patients, whereas sensory and urologic deficits did not occur. We believe that this is related to underlying myelodysplasia. In addition, patients with cervical myelocystoceles tend to have significant orthopedic problems. In contrast, patients with cervical meningoceles do not have neurologic deficits, but do develop mild orthopedic problems.
关于颈髓脊膜膨出和脊膜膨出患者的长期预后，人们了解甚少。在本研究中，我们报告了8例颈髓脊膜膨出和脊膜膨出患者的长期随访情况（平均10年零8个月）。在长期随访中对神经、骨科、泌尿和心理社会状况进行了评估。结果表明，对于颈髓脊膜膨出患者，随着婴儿成长，神经功能缺损在出生后第一年变得明显。这些患者中运动功能缺损很常见，而感觉和泌尿功能缺损并未出现。我们认为这与潜在的脊髓发育异常有关。此外，颈髓脊膜膨出患者往往有明显的骨科问题。相比之下，颈脊膜膨出患者没有神经功能缺损，但确实会出现轻度骨科问题。
