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打哈欠时出现莱尔米特征，与先天性寰椎后弓部分发育不全相关。

Lhermitte sign during yawning associated with congenital partial aplasia of the posterior arch of the atlas.

作者信息

Sagiuchi T, Tachibana S, Sato K, Shimizu S, Kobayashi I, Oka H, Fujii K, Kan S

机构信息

Department of Neurosurgery, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.

出版信息

AJNR Am J Neuroradiol. 2006 Feb;27(2):258-60.

PMID:16484387
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8148776/
Abstract

We describe the case of a 26-year-old man who presented with symptoms compatible with Lhermitte sign that occurred during yawning. It was associated with congenital partial aplasia of the posterior arch of the atlas. Cervical multisection-detector CT myelography during yawning showed compression of the upper cervical cord due to the inward mobility of the isolated posterior tubercle. The symptoms completely disappeared following removal of the isolated posterior tubercle.

摘要

我们描述了一名26岁男性的病例，该患者在打哈欠时出现了与莱尔米特征相符的症状。这与第一颈椎后弓先天性部分发育不全有关。打哈欠时进行的颈椎多排探测器CT脊髓造影显示，孤立的后结节向内移动导致上颈髓受压。切除孤立的后结节后，症状完全消失。

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AJNR Am J Neuroradiol. 2006 Feb;27(2):258-60.
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本文引用的文献

1
Congenital partial aplasia of the posterior arch of the atlas causing myelopathy: case report and review of the literature.先天性寰椎后弓部分发育不全导致脊髓病：病例报告及文献复习
Spine (Phila Pa 1976). 2003 Jun 15;28(12):E224-8. doi: 10.1097/01.BRS.0000065492.85852.A9.
2
Partial aplasia of the posterior arch of the atlas with an isolated posterior arch remnant: findings in three cases.寰椎后弓部分发育不全伴孤立的后弓残余：3例病例的影像学表现
AJNR Am J Neuroradiol. 2000 Jun-Jul;21(6):1167-71.
3
Recurrent transient quadriparesis after minor cervical trauma associated with bilateral partial agenesis of the posterior arch of the atlas. Case report.轻微颈椎创伤后反复出现短暂性四肢轻瘫，与双侧寰椎后弓部分发育不全相关。病例报告。
J Neurosurg. 1996 Apr;84(4):663-5. doi: 10.3171/jns.1996.84.4.0663.
4
Congenital defects of the posterior arch of the atlas: a report of seven cases including an affected mother and son.寰椎后弓先天性缺陷：七例报告，包括一位患病母亲和儿子。
AJNR Am J Neuroradiol. 1994 Feb;15(2):249-54.
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[A peculiar type of the formation of a defect in the posterior atlas arch].[寰椎后弓缺损形成的一种特殊类型]
Fortschr Geb Rontgenstr Nuklearmed. 1968 Apr;108(4):541-3.
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Congenital absence of the posterior arch of the atlas.寰椎后弓先天性缺如。
Radiology. 1972 Jun;103(3):581-3. doi: 10.1148/103.3.581.
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Occipito-cervical fusion. Indications, technique and results.枕颈融合术。适应症、技术及结果。
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Aplasia of the posterior arch of the atlas associated with isolated posterior tubercle.寰椎后弓发育不全伴孤立性后结节。
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Intermittent quadriparesis associated with a congenital anomaly of the posterior arch of the atlas. Case report.与寰椎后弓先天性异常相关的间歇性四肢轻瘫。病例报告。
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