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作为既往脊柱手术的并发症,假性脑脊膜膨出内的脊髓神经根受压

Entrapped spinal nerve roots in a pseudomeningocoele as a complication of previous spinal surgery.

作者信息

Pavlou G, Bucur S D, van Hille P T

机构信息

Department of Neurosurgery, Leeds General Infirmary, Leeds, UK.

出版信息

Acta Neurochir (Wien). 2006 Feb;148(2):215-9; discussion 219-20. doi: 10.1007/s00701-005-0696-y. Epub 2005 Dec 27.

Abstract

Pseudomeningocele is a rare but well recognised complication of lumbar surgery (microdiscectomy and laminectomy). Most of the patients tolerate the presence of the cyst well, however some present with back pain and spinal claudication, presumably due to neural compression. We report a case who presented following three operations (microdiscectomy, laminectomy and excision of a pseudomeningocele) with symptoms of spinal claudication and bilateral radicular pain. The cause of her pain was evident only at operation and was due to herniation of nerve roots through the dural defect.

摘要

假性脑脊膜膨出是腰椎手术(显微椎间盘切除术和椎板切除术)罕见但已被充分认识的并发症。大多数患者对囊肿的存在耐受良好,然而,有些患者会出现背痛和脊髓间歇性跛行,可能是由于神经受压所致。我们报告一例患者,在接受了三次手术(显微椎间盘切除术、椎板切除术和假性脑脊膜膨出切除术)后出现脊髓间歇性跛行和双侧神经根性疼痛症状。她疼痛的原因仅在手术时才明确,是由于神经根通过硬脑膜缺损处疝出所致。

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