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尾椎退化综合征——病例报告及文献综述

Caudal regression syndrome--case report and review of literature.

作者信息

Singh Santosh Kumar, Singh Rupa Dalmia, Sharma Akhilesh

机构信息

Consultant Pediatric Surgeon, Diplomate of National Board, Tulsi Hospitals Ltd., 1/64 Nawabganj, Kanpur, 208002, India.

出版信息

Pediatr Surg Int. 2005 Jul;21(7):578-81. doi: 10.1007/s00383-005-1451-4. Epub 2005 Jun 24.

DOI:10.1007/s00383-005-1451-4
PMID:15977017
Abstract

Caudal regression syndrome is a rare disorder of distal spinal segments affecting the development of the spinal cord, with attendant sequelae. Intelligence is preserved. The exact etiology is elusive, though maternal diabetes, genetic factors, and hypoperfusion might play roles. Recently, the role of teratogens has been studied in animal models. Treatment is difficult, multidisciplinary, and largely supportive. Lower limb deformities with sensory and motor loss and neurogenic bladder call for intensive and long-term attention.

摘要

尾椎退化综合征是一种影响脊髓发育的罕见的远端脊髓节段疾病,并伴有一系列后遗症。智力不受影响。确切病因尚不清楚,不过母体糖尿病、遗传因素和灌注不足可能起作用。最近,致畸剂在动物模型中的作用已得到研究。治疗困难,需要多学科参与,且主要是支持性治疗。伴有感觉和运动丧失的下肢畸形以及神经源性膀胱需要密切和长期关注。

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Neonatal caudal regression syndrome: Devil lies in details.新生儿尾椎退化综合征:细节决定成败。
Med J Armed Forces India. 2024 Dec;80(Suppl 1):S360-S362. doi: 10.1016/j.mjafi.2022.12.004. Epub 2023 Jan 15.
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本文引用的文献

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From the Mermaid to Anal Imperforation: The Syndrome of Caudal Regression.从美人鱼综合征到肛门闭锁:尾椎退化综合征
Arch Dis Child. 1961 Apr;36(186):152-5. doi: 10.1136/adc.36.186.152.
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Caudal dysplasia sequence: severe phenotype presenting in offspring of patients with gestational and pregestational diabetes.尾部发育异常序列征:妊娠期及孕前糖尿病患者后代中出现的严重表型。
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CONGENITAL SPINAL ANOMALIES IN INFANTS OF DIABETIC MOTHERS.糖尿病母亲所生婴儿的先天性脊柱异常
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J Med Case Rep. 2023 Nov 25;17(1):491. doi: 10.1186/s13256-023-04220-5.
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Neurologic pathologies of the vertebral spine.脊椎神经病理学。
Skeletal Radiol. 2024 Mar;53(3):419-436. doi: 10.1007/s00256-023-04428-y. Epub 2023 Aug 17.
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Case report: Sacral agenesis in two boxer dogs: clinical presentation, diagnostic investigations, and outcome.病例报告:两只拳师犬的骶骨发育不全:临床表现、诊断检查及结果
Front Vet Sci. 2023 May 25;10:1201484. doi: 10.3389/fvets.2023.1201484. eCollection 2023.
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Caudal Regression Syndrome-A Narrative Review: An Orthopedic Point of View.尾椎退化综合征——叙述性综述:骨科视角
Children (Basel). 2023 Mar 19;10(3):589. doi: 10.3390/children10030589.
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Caudal regression syndrome: Postnatal radiological diagnosis with literature review of 83 cases.尾椎退化综合征:产后影像学诊断及83例文献回顾
Radiol Case Rep. 2022 Sep 29;17(12):4636-4641. doi: 10.1016/j.radcr.2022.09.037. eCollection 2022 Dec.
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Continence management in children with severe caudal regression syndrome: role of multidisciplinary team and long-term follow-up.儿童严重尾退化综合征的控尿管理:多学科团队和长期随访的作用。
Pediatr Surg Int. 2022 Oct;38(10):1461-1472. doi: 10.1007/s00383-022-05168-1. Epub 2022 Aug 9.
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Mermaid syndrome: A case report in Somalia.美人鱼综合征:索马里的一例病例报告。
Ann Med Surg (Lond). 2022 Mar 29;76:103533. doi: 10.1016/j.amsu.2022.103533. eCollection 2022 Apr.
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Clinical and Radiologic Characteristics of Caudal Regression Syndrome in a 3-Year-Old Boy: Lessons from Overlooked Plain Radiographs.一名3岁男孩尾椎退化综合征的临床和放射学特征:从被忽视的平片中学到的经验教训。
Pediatr Gastroenterol Hepatol Nutr. 2021 Mar;24(2):238-243. doi: 10.5223/pghn.2021.24.2.238. Epub 2021 Mar 4.
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Relationship of the fistulas to the rectum and genitourinary tract in mouse fetuses with high anorectal malformations induced by all-trans retinoic acid.
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Sonographic diagnosis of caudal regression in the first trimester of pregnancy.妊娠早期超声诊断尾椎退化综合征
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Extreme caudal agenesis. Possible drug-related etiology?
J Reprod Med. 2002 Mar;47(3):241-5.
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Prenatal diagnosis of Caudal Regression Syndrome : a case report.尾椎退化综合征的产前诊断:一例报告
BMC Pregnancy Childbirth. 2001;1(1):8. doi: 10.1186/1471-2393-1-8.
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Caudal regression syndrome.尾椎退化综合征。
Indian Pediatr. 2001 Jan;38(1):98.
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Caudal dysplasia sequence with penile enlargement: case report and a potential pathogenic hypothesis.伴有阴茎增大的尾椎发育不全序列征:病例报告及潜在致病假说
Am J Med Genet. 2001 Feb 15;99(1):54-8. doi: 10.1002/1096-8628(20010215)99:1<54::aid-ajmg1124>3.0.co;2-f.
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Caudal regression syndrome detected in a fetus with increased nuchal translucency.在一名颈部半透明厚度增加的胎儿中检测到尾部退化综合征。
Acta Obstet Gynecol Scand. 1999 Aug;78(7):655-6. doi: 10.1034/j.1600-0412.1999.780717.x.