Mohit A Alex, Fisher David J, Matthews Dana C, Hoffer Eric, Avellino Anthony M
Department of Neurosurgery, University of Washington and Children's Hospital and Regional Medical Center, Seattle, Washington, USA.
J Neurosurg. 2006 Jan;104(1 Suppl):46-9. doi: 10.3171/ped.2006.104.1.46.
The authors report a case of a 16-year-old girl who presented with a 1-week history of progressive low-back pain, buttock paresthesias, and bilateral lower extremity pain and weakness. Magnetic resonance (MR) imaging and MR venography studies of her lumbar spine revealed engorgement of the epidural venous plexus and mild compression of the cauda equina. A lower extremity and pelvic venogram revealed occlusive thrombosis of the femoral and iliac veins as well as of the inferior vena cava (IVC). The patient required an IVC thrombectomy due to progressive symptoms, after which she improved and returned to baseline status in 1 week. Imaging studies afterwards showed resolution of the venous engorgement and decompression of the cauda equina. This is the second published report of an association between IVC thrombosis and cauda equina syndrome.
作者报告了一例16岁女孩的病例，该女孩有1周的进行性下背部疼痛、臀部感觉异常以及双侧下肢疼痛和无力病史。对其腰椎进行的磁共振（MR）成像和MR静脉造影研究显示硬膜外静脉丛充血以及马尾轻度受压。下肢和盆腔静脉造影显示股静脉、髂静脉以及下腔静脉（IVC）闭塞性血栓形成。由于症状进行性加重，该患者需要进行下腔静脉血栓切除术，术后1周病情改善并恢复至基线状态。之后的影像学研究显示静脉充血消退且马尾减压。这是关于下腔静脉血栓形成与马尾综合征之间关联的第二篇发表报告。
