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含气性椎间盘突出致急性马尾综合征

Acute cauda equina syndrome caused by a gas-containing prolapsed intervertebral disk.

作者信息

Mehta T A, Sharp D J

机构信息

Trauma and Orthopaedic Directorate, The Ipswich Hospital NHS Trust, United Kingdom.

出版信息

J Spinal Disord. 2000 Dec;13(6):532-4. doi: 10.1097/00002517-200012000-00013.

DOI:10.1097/00002517-200012000-00013
PMID:11132986
Abstract

Gas production as a part of disk degeneration can occur, but it rarely causes clinical nerve compression syndromes. A rare case of gaseous degeneration in a prolapsed lumbar intervertebral disk causing acute cauda equina syndrome is described. Radiologic features and intraoperative findings are reported. A 78-year-old woman with severe lumbar canal stenosis had acute cauda equina syndrome. Magnetic resonance imaging revealed a large disk protrusion, and she underwent an urgent operation for this. Surgery confirmed the severe lumbar canal stenosis, but the disk prolapse contained gas that had caused the nerve compression.

摘要

作为椎间盘退变一部分的气体产生可能会发生,但很少引起临床神经受压综合征。本文描述了一例罕见的腰椎间盘突出症气体退变导致急性马尾综合征的病例。报告了其影像学特征和术中发现。一名患有严重腰椎管狭窄的78岁女性出现急性马尾综合征。磁共振成像显示一个大的椎间盘突出,她因此接受了紧急手术。手术证实存在严重的腰椎管狭窄,但椎间盘突出内含有导致神经受压的气体。

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