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β地中海贫血中的脊髓压迫症:病例报告及文献综述

Spinal cord compression in beta-thalassemia: case report and review of the literature.

作者信息

Salehi S A, Koski T, Ondra S L

机构信息

Department of Neurological Surgery, The Feinberg School of Medicine, Northwestern University, Chicago, Illinois, USA.

出版信息

Spinal Cord. 2004 Feb;42(2):117-23. doi: 10.1038/sj.sc.3101544.

Abstract

STUDY DESIGN

A case report of thoracic spinal cord compression in a 34-year-old male with beta-thalassemia is reported.

OBJECTIVES

In patients with thalassemia, neurologic complaints should lead to a high index of suspicion for spinal cord compression from marrow expansion, ectopic bone formation and resultant stenosis. Initial presentation, diagnosis, radiographic findings, surgical treatment and follow-up are reviewed.

SETTING

This case is reported from Chicago, Illinois.

METHOD

A chart review is performed for the purposes of this case report.

RESULTS

Patient underwent decompressive laminectomy with good surgical outcome.

CONCLUSION

Rapid diagnosis and treatment of such a condition is essential to optimize the chances of recovery.

摘要

研究设计

报告一例34岁β地中海贫血男性患者发生胸段脊髓压迫症的病例。

目的

对于地中海贫血患者,出现神经症状时应高度怀疑脊髓压迫由骨髓扩张、异位骨形成及由此导致的狭窄引起。回顾其初始表现、诊断、影像学检查结果、手术治疗及随访情况。

地点

本病例报告来自伊利诺伊州芝加哥。

方法

为撰写本病例报告进行了病历回顾。

结果

患者接受了减压性椎板切除术,手术效果良好。

结论

对此类病症进行快速诊断和治疗对于优化康复机会至关重要。

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