Perrini Paolo, Scollato Antonio, Guidi Enrico, Benedetto Nicola, Buccoliero Anna Maria, Di Lorenzo Nicola
Departments of Neurosurgery, and Human Pathology and Oncology, University of Florence, Firenze, Italy.
J Neurosurg. 2005 Mar;102(2 Suppl):244-7. doi: 10.3171/jns.2005.102.2.0244.
The authors report on an unusual case of a congenital tethered cervical spinal cord in young man who presented with progressive tetraparesis. Neuroradiological evaluation of the spine revealed a discrete exophitic cervical spinal cord mass with a stalk of tissue that extended from the mass and terminated in the muscle tissue. The patient underwent a laminectomy with intradural exploration. A stalklike lesion was discovered and excised. Pathological examination showed that the stalk was formed of hamartomatous tissue. The patient improved following surgery, which suggested that tethering of the cervical spinal cord was responsible for his symptoms.
作者报告了一例年轻男性先天性颈髓拴系的罕见病例，该患者表现为进行性四肢轻瘫。脊柱的神经放射学评估显示，颈椎脊髓有一个离散的外生性肿块，并有一束组织从肿块延伸并终止于肌肉组织。患者接受了椎板切除术并进行硬膜内探查。发现并切除了一个茎状病变。病理检查显示，茎由错构瘤组织构成。患者术后病情改善，这表明颈髓拴系是其症状的原因。
