Ram S, Osman A, Cassar-Pullicino V N, Short D J, Masry W E
Midlands Centre for Spinal Injuries, Robert Jones & Agnes Hunt Orthopaedic Hospital, Oswestry, Shropshire, UK.
Spinal Cord. 2004 Aug;42(8):481-4. doi: 10.1038/sj.sc.3101583.
The 5 year review of patients referred to one center.
To report spinal cord infarction secondary to vascular occlusion from disease in a lower thoracic intervertebral foramen.
The clinical and imaging findings of two cases with acute spinal cord dysfunction are presented.
Midlands Centre for Spinal Injuries, England.
The CT and MR imaging features revealed lower thoracic unilateral foraminal occlusion due to acute facet joint septic arthritis in a diabetic patient, and secondary to chronic hypertrophic osteophytes in a second hypertensive individual. The presumed mechanism of infarction was occlusion of the artery of Adamkiewicz.
Foraminal disease in the lower thoracic levels needs to be entertained in cases of unexplained nontraumatic acute spinal cord dysfunction.
对转诊至一个中心的患者进行5年回顾。
报告下胸椎椎间孔疾病继发血管闭塞导致的脊髓梗死。
介绍2例急性脊髓功能障碍患者的临床和影像学表现。
英国中部脊髓损伤中心。
CT和MR成像特征显示，一名糖尿病患者因急性小关节化脓性关节炎导致下胸椎单侧椎间孔闭塞，另一名高血压患者则继发于慢性增生性骨赘。推测的梗死机制是Adamkiewicz动脉闭塞。
对于不明原因的非创伤性急性脊髓功能障碍病例，需要考虑下胸椎节段的椎间孔疾病。
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